Received Mar 2, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) | GLAXOSMITHKLINE BIOLOGICALS | UNK | UNKNOWN | SYR / UN |
Systemic: Neurological Disorder (diagnosed by MD)-Severe, Additional Details: PATIENT SAYS HE RECEIVED A FLU VACCINE IN 2010 AND AFTERWARDS HE WAS DIAGNOSED WITH Guillain-Barré Syndrome.