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This is VAERS ID 69239

(NOTE: This result is from the 8/14/2018 version of the VAERS database)

Case Details

VAERS ID: 69239 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: Idaho  
Vaccinated:1994-10-17
Onset:1994-10-17
   Days after vaccination:0
Submitted: 1994-11-16
   Days after onset:30
Entered: 1994-12-05
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 4F51165 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Myalgia, Myasthenic syndrome, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Malignancy related conditions (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

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~ ()~~~In patient
Other Medications: none;
Current Illness: none;
Preexisting Conditions: none;
Allergies:
Diagnostic Lab Data: none;
CDC Split Type: ID94072

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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180814&IDNUMBER=69239


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