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Report #2833915

Received Apr 1, 2025

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
Male
Age
43 yrs
State
MS
Recovered
Unknown
Vaccinated
Dec 7, 2010
Onset
Dec 7, 2010
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUXINFLUENZA (SEASONAL) (NO BRAND NAME)UNKNOWN MANUFACTURERUNK——

Symptoms (10)

Allergy to vaccineAnaphylactic reactionEye oedemaEye pruritusEye swellingLip swellingNasal oedemaPruritusRash macularVisual impairment

Symptom narrative

Reported Symptoms: 10002218:ANAPHYLAXIS; 10014218:EDEMA CONJUCTIVAL; 10024570:LIP SWELLING; Narrative: Historical ADE reported. Patient presented to ER on 12/10/2010 with edema of eyes, nose and red itching blotches over her body as well as itchy eyes for the last 4 days. Patient stated was seen and treated with bactrim while being seen at (redacted name) hospital (redacted state). She reported only taking 2 doses since. Swelling worsened under her eyes and change in vision. No SOB or swallowing problems reported at the time. She also reports she received a flu shot last Wednesday and had not had one for over 20 years. Influenza vaccine was added to allergy list. Patient was given Solumedrol 80 mg IM once and Benadryl 25 mg IM once while inpatient. Swelling improved and resolved while inpatient. Other Relevant HX: Other: SWELLING AROUND EYES; LIP SWELLING