Received Sep 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | UNK | F4A7R | IM / LA |
I was administered the influenza vaccine in my left upper arm from a clinic Wednesday 9/24/25 at 935 am in my office Upon administration of vaccine, I developed severe burning sensation at site. I then had swelling and tenderness at immunization site (left upper arm). Approximately 6 hours after receiving the immunization I developed swelling in the left side of my neck, jaw, and face. No erythema or warmth. No fever. It was associated with pain in my left TMJ and left ear. The pain became severe in my left ear about 8 hours after the immunization (8/10 sharp stabbing pain). My hearing in left ear was diminished at this time. I utilized tylenol, aleve, sudafed, and benadyrl with little benefit. I went to bed with severe pain in my ear and head. The next morning my left ear pain had diminished but I lost most hearing in the left ear and had a sensation of fullness in the left ear. I developed mild tinnitus and some dizziness with quick movements (like leaning forward and getting up too fast). The swelling in my left neck and face slowly resolved and was gone by Thursday 9/25/25 afternoon. I still had tenderness behind my left ear and over my left TMJ. Thursday afternoon I had another physician (friend) look at my ear to confirm a ruptured TM. Today, I continue to have left ear fullness and Description of Incident Body Part Body Part Position diminished to no hearing on left side. I have occasional tinnitus in left ear. The immunization site, left upper arm, continues to be sore. Ear - Left (Incl. hearing, eardrum) Left
none
unknown
unknown
unknown but has had severe reaction to COVID vaccine and with previous flu vaccines developed arm swelling
planning to see PCP
arm swelling with previous flu vaccines