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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 70576

Case Details

VAERS ID: 70576 (history)  
Form: Version .0  
Age: 76.7  
Sex: Male  
Location: North Carolina  
Submitted: 1990-11-12
Entered: 1995-01-18
   Days after submission:1528
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA VACCINE 1990-1991 TYPES A&B WYETH / WYETH 4908189 / 0 - / -

Administered by: Private       Purchased by: Unknown

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: calcijex, epogen;
Current Illness: end stage renal disease,2d nephroscle
Preexisting Conditions: dialysis
Diagnostic Lab Data: none
CDC Split Type:

Write-up: vax was given intravenously through dialysis blood tubing as an IV push med;pt had no complaints; no adverse signs/sxs;

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