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Report #2865582

Received Oct 13, 2025

ER / ED visitOffice visit
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Overview

Sex
Female
Age
56 yrs
State
CA
Recovered
Not recovered
Vaccinated
Sep 9, 2025
Onset
Sep 13, 2025
Days to onset
4
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUARIX)GLAXOSMITHKLINE BIOLOGICALSUNKJS74HIM / RA

Symptoms (5)

DysphoniaInfluenza virus test negativePyrexiaRespiratory syncytial virus test negativeSARS-CoV-2 test negative

Symptom narrative

fever starting after vaccine lasting 4 days. dysphonia started on 9/12/25.

Medical history

Anxiety ? Cervicalgia 07/28/2022 ? Chicken pox ? CRPS (complex regional pain syndrome type I) ? Elevated WBC count 11/03/2015 ? Esophageal reflux 09/16/2016 ? Essential hypertension 10/30/2015 ? Fibromyalgia ? History of arthritis ? History of cholecystectomy ? Immunization, BCG ? Leukocytosis 02/28/2016 ? Low HDL (under 40) 07/28/2022 ? Migraine with aura and without status migrainosus, not intractable 05/26/2016 Gets botox Neuro: ? NO SIGNIFICANT MEDICAL PROBLEMS ? Obesity (BMI 35.0-39.9 without comorbidity) ? Prediabetes 07/28/2022 ? Swelling, mass, or lump in head and neck 09/16/2016

Other medications

aspirin (Ecotrin Low Strength) 81 mg EC DR tablet, Take 1 tablet by mouth daily., Disp: 90 tablet, Rfl: 3 ? atorvastatin (Lipitor) 10 mg tablet, Take 1 tablet by mouth daily., Disp: 90 tablet, Rfl: 3 ? famotidine (Pepcid) 20 mg tablet, Ta

Allergies

Amoxicillin Clindamycin Erythromycin Drug Gentamicin Iodine [Iodinated Contrast Media] Iodine Ampicillin Ciprofloxacin Amoxicillin Drug Ingredient Rash, Other (See Comments) High Allergy 4/30/2012 Past Updates rash ^^^Per clinic received cefoTEtAN (CEFOTAN) injection most recently on 12/30/2015 after allergy date of 04/30/2012^^^ Clindamycin Drug Ingredient Other (See Comments) High Allergy 4/30/2012 Past Updates Mouth sore Erythromycin Drug Rash, Other (See Comments) High Allergy 4/30/2012 Past Updates Gentamicin Drug Ingredient Rash, Other (See Comments) High Allergy 4/30/2012 Past Updates Iodine [Iodinated Contrast Media] Drug Class Medium Allergy 5/8/2014 Past Updates Ampicillin Drug Ingredient Other (See Comments) Not Specified 5/19/2023 Past Updates Ciprofloxacin Levofloxacin

Lab data

On 9/12/25 Received 195 units of onabotulinumtoxinA to Temporalis 40 Units divided in 8 sites - 20 on the right, 20 in the left Occipitalis 30 Units divided in 6 sites - 15 on the right, 15 on the left Cervical PSPs 20 Units divided in 4 sites - 10 on the right, 10 on the left Trapezius 30 Units divided in 6 sites - 15 on the right, 15 on the left L R Optional follow pain # units BL temporalis - 5 on the right, 5 on the left BL occipitalis - 5 on the right, 5 on the left BL cervical paraspinal - 5 on the right, 5 on the left Trapezius - 5 on the right, 5 on the left 10/6/2025 SARS-COV-2/FLU/RSV PCR, RAPID was negative.