Received Feb 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | 1 | U8489BA | IM / LA |
Reported Symptoms: 10002218:ANAPHYLAXIS; 10002424:ANGIOEDEMA; 10015218:ERYTHEMA MULTIFORME; 10037087:PRURITUS; 10037844:RASH; 10038198:REDNESS; 10042691:SWELLING OF FACE; 10043528:THROAT TIGHTNESS; Narrative: Pt has a long history of receiving an annual flu shot (since at least 2007) with no prior severe reaction documented. Pt received high dose flu shots since 2020. Pt was administered his annual shot on 10/8/24. The next day (10/9/24) the pt presented to urgent care reporting that he thought he was having a reaction to the flu shot. Per pt, he had hives to his beltline and posterior neck that started the evening he received the shot. It was also noted the left side of his face was swollen with slight redness, hands/wrist slightly swollen, no redness noted on hands, and redness and rash noted on belt waist line. Pt was then sent to the emergency room in an ambulance due to severe swelling in his throat. He was treated at the ER with solu medrol, benadryl, and NS. He was sent home with prednisone and an epi pen. ER provider recommended to hold lisinopril should it be the causative agent until f/u with primary care. Pt had been taking lisinopril from 2016 - 2024 without prior complaints. Pt presented to the ED again, the following week on 10/23/24. Pt stated he woke up with left face swelling and hives on his left leg. Pt reported using his epi pen at home, but that it did not help his facial swelling. Pt noted he went to a new restaurant the night before, started magnesium 2 weeks prior, and started glipizide 2 months ago. Pt was given benadryl, solu medrol and famotidine. Facial swelling