Report #2863814

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: 51 yrs
State: CA
Recovered: Recovered
Vaccinated: Sep 25, 2025
Onset: Sep 25, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLUC4	INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)	SEQIRUS, INC.	1	407008	IM / LA

Symptoms (15)

Anaphylactic reactionAstheniaDizzinessEye swellingFlushingHeadacheHyperhidrosisHypoaesthesiaInjection site pruritusMouth swellingPruritusRashSwelling faceSwollen tongueTremor

Symptom narrative

Site: Itching at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Mild, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Adverse event outcome is None she is doing fine after 3 hrs of obseravtion in side our pharmacy and her blood pressure was 115 /85 pulse 70 and she said she will call her MD.

Allergies

none as per Vaccine consent screening