Received Mar 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | DA7P5 | IM / LA |
Reported Symptoms: 10067481:NO ADVERSE DRUG REACTION; Narrative: at approximately 1430 on 12/5, patient's son contacted PACT team by phone. He had questions as to if the patient had received a flu shot. he stated his father came home with a band-aid on his arm and said he thought he had gotten a flu shot. Upon review of patient's chart, there was a flu shot administered at his appt the morning of his 12/5 appt. The son stated his father is allergic to flu shots and should not receive them, due to a hx of guillian barre. RN advised the son to take his father to the ER with any s/s of reaction. At time of entry no noted reactions on patient chart after nearly 2 weeks since administration. Other Relevant HX: Other: Pt has h/o gullian barre no reaction noted