Received Oct 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | 3052583 | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUCELVAX) | SEQIRUS, INC. | UNK | 948400 | IM / LA |
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | 948400 | — |
Severe rash reaction, all over the body; Hives throughout his body; Trouble breathing; This spontaneous case, initially received on 30-Sep-2025, was reported by a health professional and concerns an adult male patient. At the time of this report, the patient was adult. At the time of the event the patient had Some allergies to preservatives. Concomitant medications were reported as unknown. Administration of company suspect drug: On 23-Sep-2025, the patient received Flucelvax (TIV) for Influenza immunization, Dose regimen: 0.5 ml, Route of administration: not reported; Anatomical Location: not reported, Lot number: 948400. No additional suspect drugs. Adverse reactions/events and outcomes: On 28-Sep-2025, 5 days after vaccination, the patient experienced Severe rash reaction, all over the body (outcome: Recovered / Resolved, stop date: 28-Sep-2025), Hives throughout his body (outcome: Recovered / Resolved, stop date: 28-Sep-2025), Trouble breathing (outcome: Recovered / Resolved, stop date: 28-Sep-2025). The reporter wanted to connect with someone from the medical team about a vaccine reaction that occurred on 28-Sep-2025, wanted to double check that this vaccine did NOT contain preservatives. The client (patient) that had a pretty sever reaction including hives throughout his body, sever rash reaction, all over the body and difficulty breathing 5 days after being vaccinated. The patient stated that his urgent care clinic told him that this product was not preservative free and thought it was so not sure where they were getting that information. The reporter looked at the box and it even stated that it did not contain preservatives. Flucelvax (TIV) action taken: Not Applicable Treatment medication: Unspecified steroid medication Reporter's assessment: The primary reporter considered the events Severe rash reaction, all over the body, Hives throughout his body, Trouble breathing as non-serious and did not provide the causality of the events.; Reporter's Comments: Due to the spontaneous nature of the case, the events Severe rash reaction, all over the body, Hives throughout his body, Trouble breathing are considered related for reporting purposes.
Reaction to preservatives