Report #2866333

Received Oct 16, 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: Male
Age: 12 yrs
State: CT
Recovered: Recovered
Vaccinated: Oct 10, 2025
Onset: Oct 10, 2025
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	1	7NT95	IM / LA

Symptoms (2)

FlushingUrticaria

Symptom narrative

Pt began with full body hives and flushing approximately 3-4 hours after administration of vaccine. Pt was no longer in school at that time and was home under the care of his mother, who reported that pt did not have any coughing/SOB/tongue/lip swelling. Mom gave Zrytec 10 mg and continued to administer Zrytec daily for 4 days with full resolution of rash. Pt was not seen by any medical provider during that time, but does have documented cell phone pictures of rash.

Current illness

none

Medical history

none

Other medications

none

Allergies

none

Lab data

Pt has had numerous flu vaccines in his past without any result. Mom reports pt eats all foods, including eggs, nuts, shellfish, dairy. No one in family with similar response to flu vaccine. Placed allergy alert in pt's chart for flu vaccine at this time, until he can get formally tested by allergist. Pt referred to Allergy for further evaluation.