Report #2869567

Received Oct 30, 2025

Life-threateningHospitalizedER / ED visitOffice visit

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Overview

Sex: Female
Age: 77 yrs
State: PA
Recovered: Unknown
Vaccinated: Oct 24, 2025
Onset: Oct 25, 2025
Days to onset: 1
Hospital days: 2

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU3	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE)	SANOFI PASTEUR	1	U8859CA	IM / RA

Symptoms (4)

Atrial fibrillationCardiac ventricular thrombosisCondition aggravatedMalaise

Symptom narrative

PT WOKE UP THE DAY AFTER FLU SHOT NOT FEELING WELL. SHE HAD A HEART MONITORON AND NOTICED SHE WAS IN AFIB. SHE WENT TO HOSPITAL AND THEY FOUND A BLOT CLOT IN HEART. PT ADMITTED OVERNIGHT AND STARTED ELIQUIS. DR WANTED HER TO NOTIFY PHARMACY OF THE INCIDENT.

Current illness

NO ILLNESS-WORKING OUT AT THE GYM

Medical history

HEART-2 OPEN HEART SURGERIES, MITRAL VALVE REPAIR AND DOUBLE CABBAGE, TAVR-AORTIC VALVE , AFIB 10 YEARS PRIOR, PACEMAKER AND DIFIBULATOR, BLIND IN ONE EYE FROM CAR ACCIDENT

Other medications

BABY ASPIRIN, JARDIANCE, METFORMIN, METOPROLOL, LIPITOR,

Allergies

IODINE DYE, CARVEDILOL, MORPHINE

Lab data

HOSPITAL STAY BC AFIB AND BLOD CLOT IN HEART THE DAY AFTER FLU VACCINE