Received Mar 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) | SANOFI PASTEUR | 1 | U8489DA | ID / LA |
Systemic: Chills-Severe, Systemic: Fever-Severe, Additional Details: Patient reports being very sick and experiencing severe flu like symptoms after receiving RSV + COVID + FLU, Other Vaccines: VaccineTypeBrand: COVID 2024-2025 12+; Manufacturer: MODERNA; LotNumber: 3042560; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 09/12/2024, VaccineTypeBrand: RSV (AREXVY VIAL); Manufacturer: GLAXOSMITHKLINE; LotNumber: EY77C; Route: IM; BodySite: RIGHT ARM; Dose: 1; VaxDate: 09/12/2024