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Report #2869650

Received Oct 30, 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
Female
Age
74 yrs
State
CA
Recovered
Unknown
Vaccinated
Oct 30, 2025
Onset
Oct 30, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLU3INFLUENZA (SEASONAL) (FLUAD)SEQIRUS, INC.1407256IM / LA

Symptoms (4)

Anaphylaxis treatmentHemiparesisHypoaesthesiaPain

Symptom narrative

PT HAD PAIN LEFT SIDED WEAKNESSA/NUMBNESS. ADMINISTERED EPIPEN. PATIENT RESTED UNTIL SYMPTOMS SUBSIDED AND SON PICKED UP PATIENT. ADVISED WITH ER PRECAUTIONS.

Current illness

NA

Medical history

HTN c CARDIOMEGALY, DEPRESSIVE DISORDER, AHYPERLIPEDEMIA, ANEMIA, HYPOTHYROIDSM, SQUAMOUS CELL CARCINOMA

Other medications

NA

Allergies

LISINOPRIL

Lab data

PATIENT WAS ON HER WAY TO GET LABS DRAWN.