Report #2862814

Received Oct 2, 2025

HospitalizedER / ED visit

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Overview

Sex: Female
Age: 46 yrs
State: GA
Recovered: Unknown
Vaccinated: Oct 1, 2025
Onset: Oct 1, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUARIX)	GLAXOSMITHKLINE BIOLOGICALS	1	JS74H	IM / LA

Symptoms (3)

Endotracheal intubationHypersensitivityIntensive care

Symptom narrative

Allergic reaction- ER visit led to intubation and ICU admission.

Current illness

unknown

Medical history

Hx of irregular heart beat, Asthma,Brain lesions caused by migraines (Sees Neuro, on Topamax), and DIabetes (diet controlled). Right Knee injury from sports and had MPFL surgery (2017). Hysterectomy (2013). Precancerous tumor removed from Vagina (2021), Amblyopia in Left eye.

Other medications

unknown

Allergies

covid vaccine, tramadol, hydrocodone, latex, sulfa

Lab data

unknown

Prior vaccinations

Covid vaccine