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This is VAERS ID 68942

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 68942 (history)  
Form: Version .0  
Age: 72.5  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1994-10-10
Onset:1994-10-14
   Days after vaccination:4
Submitted: 1994-11-21
   Days after onset:38
Entered: 1994-11-30
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: DEAF, VERTIGO
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: audiogram-MRI
CDC Split Type:

Write-up: profound sensorineural hearing loss & vertigo 2 days following flu shot;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=68942


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