Received Aug 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUX | INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
Reported Symptoms: 10002218:ANAPHYLAXIS; Narrative: A 69yo female with PMH of Osteopenia, Environmental Allergies, Osteoarthritis, Breast Cancer, long term use of anticoagulant, Atrial Flutter, Cardiomyopathy, Colonic Polyp and Cerebrovascular Accident s/p Arrhythmia. On February 8, 2025, PCC/WHC attending physician reported the patient had a historical ADR of Influenza vaccine induced Anaphylaxis classified as severe and updated the patient's ADR/Allergy profile. PCC attending physician also added an addendum note regarding influenza vaccine contraindication as "severe reaction in previous dose/contraindicated" No other detailed information was provided regarding reaction treatment, the product, when and where it occurred, who administered the vaccine, vaccine manufacturer, Expiration date, lot number etc. Unable to find on patient immunization profile. Other Relevant HX: Other: ANAPHYLAXIS