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This is VAERS ID 68942

(NOTE: This result is from the 12/8/2009 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: 1994-11-25
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Deafness, Vertigo
SMQs:, Hearing impairment (narrow), Vestibular disorders (narrow)

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=20091208&IDNUMBER=68942


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