Report #2863700

Received Oct 7, 2025

Office visit

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: Female
Age: 65 yrs
State: MO
Recovered: Unknown
Vaccinated: Sep 18, 2025
Onset: Sep 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	UT8820CA	IM / LA

Symptoms (8)

Eye swellingInjection site swellingMouth swellingOcular hyperaemiaPharyngeal swellingSwellingSwelling faceSwollen tongue

Symptom narrative

Site: Swelling at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Additional Details: Patient recieved vaccine around 10 am and called around 3 pm. Patient's husband said the reaction started at noon. Neck and throat was swollen and had red eyes.

Allergies

Penicillins