Received Oct 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | UNK | U8881AA | OT |
had turned pale; said that the patient was aggressively vomiting; fussy, crying; little off balance as she was walking out of the office; Initial information received on 03-Oct-2025 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 4 year old female patient who had had turned pale, little off balance as she was walking out of the office, said that the patient was aggressively vomiting and fussy, crying after receiving Influenza Usp Trival A-B Subvirion No Preservative Vaccine [Fluzone]. The patient's past medical history, medical treatment(s), vaccination(s) and family history were not provided. On 01-Oct-2025, the patient received a dose of 0.5ml of suspect Influenza USP Trival A-B Subvirion No Preservative Vaccine Suspension for injection (lot U8881AA and expiry date-30-Jun-2026) via intramuscular route in unknown administration site for Influenza (Influenza). On an unknown date the patient developed a had turned pale (pallor), and little off balance as she was walking out of the office (balance disorder) and fussy, crying (crying) (unknown latency). Relevant laboratory test results included: Blood pressure measurement - On an unknown date:[99/60 mmhg] Body temperature - On an unknown date: 98 F Pulse pressure - On an unknown date: 82 mmHg Action taken was not applicable. It was not reported if the patient received a corrective treatment for all the events. At time of reporting, the outcome was Unknown for all the events.
Test Name: blood pressure; Result Unstructured Data: 99/60 mmhg; Test Name: temperature; Test Result: 98 {DF}; Test Name: pulse; Test Result: 82 {DF}