Received Mar 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUX | INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
Reported Symptoms: 10046735:URTICARIA; Narrative: A 94yo male with PMH of Subarachnoid Hemorrhage, OA, Dilation of Aorta, GERD, Chronic Rhinitis, Cerebral Infraction, HTN, A-Fib, Aortic Regurgitation and Pulmonary HTN. On October 7, 2024, attending Physician reported the patient had a historical ADR of Influenza vaccine induced Urticaria. The patient presented to the facility to establish care No other detailed information provided regarding the treatment for the ADR or the vaccine (i.e. when, where and who administered the vaccine, Mfg, Lot#, Exp. date. No immunization record on influenza vaccine. Other Relevant HX: Other: URTICARIA