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From the 12/31/2003 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 86671



Case Details

VAERS ID: 86671 (history)  
Form: Version .0  
Age:   
Sex: Female  
Location: Ohio  
Vaccinated:1995-11-06
Onset:0000-00-00
Submitted: 1996-02-19
Entered: 1996-06-14
   Days after submission:115
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 / WYETH - / - LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: PAIN, PAIN NECK, PARESTHESIA
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unk
Current Illness: unk
Preexisting Conditions: pt has recv flu vax in the pas w/no problems
Allergies:
Diagnostic Lab Data: neurological tests r/o carpal tunnel, thoracic outlet synd & cervical abnormalities
CDC Split Type:

Write-up: pt recv vax 6NOV95 & devel cervical neck pain, upper lt arm pain, numbness down into the lt hand;treated w/physical therapy & anti-inflammatory meds;sx have since dec in severity, but cont to persist


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=86671

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