At the time of vaccination, patient was : 37 of age
Patient sex : M
Date reaction was reported: 01/09/2018
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: This initial spontaneous case, was received from other non-healthcare professional on 09-Nov-2017, concerning a 38-year-old, adult, male patient. On 19-Oct-2016, patient was administered with FLUCELVAX QIV (dose: 0.5 ml, route of administration: intramuscular, anatomical location: arm (unspecified), batch number: 185888, expiry date: May-2017). On 22-Oct-2016, after 4 days of vaccination, the patient started to experience hives on arms, hands and feet. The patient took anti-histamines and topical cortisone cream. The patient was completely recovered from the event after 4 days. The reporter assessed the event as non-serious and considered the causality of the event as related to the suspect vaccine. Follow up report received on 27-Nov-2017: The dose, route of administration, anatomical location, indication of the vaccine and onset date of the event were updated. The narrative was amended accordingly.
Vaccine(s) associated with report# 735680
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 185888 | 0 | IM | AR |