At the time of vaccination, patient was : 58 of age
Patient sex : F
Date reaction was reported: 01/09/2018
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: Case number PHEH2017US001062, is an initial spontaneous report received from a nurse on 05 Jan 2017. This report refers to a 58 years old female patient. Medical history and concomitant medication was not reported. The patient was vaccinated with FLUCELVAX QUADRIVALENT (batch number: 186866, expiry date: May 2017) intramuscularly at a dose of 0.5 ml on 22 Dec 2016. On 23 Dec 2016 (next day) after vaccination, the patient experienced soreness in arm which has extended down to elbow. It was reported that, the event was not resolved for 02 weeks. No redness, swelling or fever was reported. The final outcome of the event was reported as condition unchanged. The seriousness of the event was reported as non serious and causality was not reported.
Vaccine(s) associated with report# 735721
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 186866 | 0 | IM | UN |