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This is VAERS ID 69239

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

Case Details

VAERS ID: 69239 (history)  
Form: Version .0  
Age: 48.2  
Sex: Female  
Location: Idaho  
   Days after vaccination:0
Submitted: 1994-11-16
   Days after onset:30
Entered: 1994-12-09
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1994-1995 / CONNAUGHT LABS 4F51165 / 0 LA / IM

Administered by: Public       Purchased by: Unknown

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: none
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Diagnostic Lab Data: none;
CDC Split Type: none;

Write-up: pt recvd vax;about 8 hrs later had generalized aching which lasted 24 hrs;had pains & weakness in arm & hand;after 4 1/2 wks still aching;sometimes pains & general weakness of arm & hands; has had flu vax previously w/ no problems;

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