Report #2825159

Received Feb 7, 2025

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 24 yrs
State: IL
Recovered: Unknown
Vaccinated: Dec 13, 2019
Onset: Dec 13, 2019
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUX	INFLUENZA (SEASONAL) (NO BRAND NAME)	UNKNOWN MANUFACTURER	UNK	—	—

Symptoms (4)

Anaphylactic reactionPruritusRashThroat tightness

Symptom narrative

Reported Symptoms: 10002218:ANAPHYLAXIS; 10037087:PRURITUS; 10037844:RASH; 10043517:THROAT CONSTRICTION; Narrative: Pt is a 29 yo male. Per available records, there is documentation going back as far as 12/13/2019 that pt has a documented allergy to the flu shot. This appears to have been first documented by the clinic. The reported ADR is throat swelling and urticaria upon administration of the influenza vaccine. Unfortunately, all other information is unknown and/or not available to this writer. Other Relevant HX: Other: RASH; AIRWAY CONSTRICTION