Report #2830719

Received Mar 11, 2025

Office visit

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: Female
Age: 61 yrs
State: CA
Recovered: Recovered
Vaccinated: Mar 3, 2025
Onset: Mar 3, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (AFLURIA)	SEQIRUS, INC.	1	P100713527	IM / LA

Symptoms (6)

BradycardiaBurning sensationDizzinessImmediate post-injection reactionPain in jawTrismus

Symptom narrative

Patient felt a burning sensation upon receiving the vaccine immediately after felt dizziness, bradycardia & jaw felt sore & locked - patient felt better after being monitored by MA & Provider after 1hr of monitoring vitals & EKG- patient was given water & a Ammonia ampule was used due to patient feeling faint.

Current illness

Right eye blurred vision x 6mo

Other medications

NONE

Allergies

Only seasonal allergies- Sneezing & Runny Nose

Lab data

NONE