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Report #2881505

Received Jan 12, 2026

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Overview

Sex
Female
Age
42 yrs
State
NY
Recovered
Recovered
Vaccinated
Sep 6, 2024
Onset
Sep 6, 2024
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
FLUC4INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)SEQIRUS, INC.1388522IM / LA

Symptoms (15)

ArthralgiaAstheniaFatigueImpaired quality of lifeInjection site bruisingInjection site erythemaInjection site painInjection site pruritusInjection site swellingInsomniaJoint injuryLethargyPain in extremityParaesthesiaTremor

Symptom narrative

Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Extreme arm pain that gets in the way of QOL-Severe, Systemic: Joint Pain-Severe, Systemic: Shakiness-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe, Additional Details: Call pharmacy for more details and speak to [name withheld] or Manger for more details, Other Vaccines: VaccineTypeBrand: N/A; Manufacturer: N/A; LotNumber: N/A; Route: N/A; BodySite: N/A; Dose: ; VaxDate: UNKNOWN

Allergies

no known allergies