VAERS ID: 1864537

AGE: 55| SEX: F|STATE: PA (United States)

Description

Received annual flu vaccine. Arm became extremely reddened, swollen, hot to touch and itchy. Experienced body aches, diarrhea, headache. Symptoms have resolved at this time, except injection site is still reddened and warm to touch, although, not as severe as earlier.

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Symptoms

Headache, Pain, Diarrhoea, Injection site erythema, Injection site swelling, Injection site pruritus, Injection site warmth

Vaccines

VAX DATE: 11-09-2021| ONSET DATE: 11-09-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) 1 FLU4 SANOFI PASTEUR UT7383KA IM LA

RECVDATE:11-12-2021
RPT_DATE:
CAGE_YR:55
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:none
V_ADMINBY:WRK
OTHER_MEDS:Atenolol; ASA
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-12-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Penicillin and Sulfa
V_FUNDBY:

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