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The following is all the information available on report# VAERS_ID: 735836
Vaccine(s) were received on 11/09/2016
Vaccine(s) were received in the state: AZ
At the time of vaccination, patient was : 76 of age
Patient sex : M
Date reaction was reported: 10/26/2017
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N

The following Lab Data for this case is available: EMG and MRI. EMG normal. MRI shoed: Degenerative changes of the cervical spine with multilevel disc osteophyte complexes, latera

The following Data for this patients ALLERGIES is available: [ ]

Description of adverse reaction: Patient C/O arm pain/weakness following influenza vaccine administration.


Vaccine(s) associated with report# 735836

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
FLU3INFLUENZA (SEASONAL) (AFLURIA) CSL LIMITEDWT581082UNLA

Symptoms(s) associated with report# 735836

Cervical spinal stenosis
Electromyogram normal
Muscular weakness
Nuclear magnetic resonance imaging spinal abnormal
Pain in extremity
Spinal osteoarthritis
Vertebral foraminal stenosis
Vertebral osteophyte