Received Oct 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 406999 | IM / LA |
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Weakness-Severe, Additional Details: Pt received vaccine on09/09/2023 , came to see me on 09/23/2025 with arm pain and said she cant raise her arm. Puncture mark was black on her left deltoid, slightly to left of center. I told her to see her doctor right away. Dr ordered prednisone and antiinflammatory with gabapentin but she could not tolerate gabapentin. She came to see me on Oct 7 and said she still has bad pain and cant lie on her arm. She will revisit her doctor this week., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Sequiris; LotNumber: 406999; Route: IM; BodySite: L deltoid; Dose: 1; VaxDate: 09/09/2025
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