Received Feb 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | No batch number | — |
Experienced an allergic reaction to the immunization; This spontaneous case, initially received on 15-Oct-2024, was reported by a non health professional and concerns a patient of unknown age/gender. Concomitant Medications and Medical History was reported as Unknown. Administration of company suspect drug: On an unknown date, the patient received Flucelvax (TIV) for immunization, Dose regimen: 5 ml, Route of Administration: Not Reported, Lot number: No batch number available, and would not be requested due to no consent for follow-up. No additional suspect drugs. Adverse reactions/events and outcomes: On an unknown date, the patient experienced Experienced an allergic reaction to the immunization (outcome: Unknown). Reporter stated the individual (patient) experience an allergic reaction to the immunization. Treatment measures associated with event was reported as Unknown. Flucelvax (TIV) action taken: Not Applicable Reporter's assessment: The reporter provides a seriousness and hospitalization for the event as unknown and causality was reported as related.; Reporter's Comments: The causality of events was assessed related to the administration of Flucelvax TIV
Comments: None