Received Apr 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) | SANOFI PASTEUR | 1 | UT8804DA | IM / RA |
Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: patient daughter stated she had tingling in her arms similiar to guillian barre syndrome, Other Vaccines: VaccineTypeBrand: capvaxive; Manufacturer: merck sharp; LotNumber: Z0103052; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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