Received Mar 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUX | INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
Reported Symptms: 10013963:DYSPNEA; 10033556:PALPITATION; Narrative: A 53yo female patient with PMH of HTN, Asthma, Constipation and GERD, presented to the facility to establish care. On October 28, 2024, the staff RN reported the patient had a historical ADR of influenza vaccine induced Palpitations and Dyspnea. No other detailed information regarding the reaction date or treatment and the vaccine, was provided. i.e. ( when, where and by who the vaccine was administered, Mfg, lot#, Exp. date, etc) Last facility influenza immunization record for the patient - Feb. 22, 2019 (Influenza split virus, quadrivalent, PF. ) Other Relevant HX: Other: PALPITATIONS; DYSPNEA