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The following is all the information available on report# VAERS_ID: 738293
Vaccine(s) were received on 09/26/2016
Vaccine(s) were received in the state: OR
At the time of vaccination, patient was : 55 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N

The following Data for this patients HISTORY is available: None

The following Data for this patients ALLERGIES is available: [NKA ]

Description of adverse reaction: Given influenza vaccine in left arm. Vaccine was painful. 1 week later had increased pain in deltoid. 2 weeks later had large bump and bruise on deltoid. Still have residual pain in shoulder and decreased range of motion.


Vaccine(s) associated with report# 738293

TypeNameManufacturerVaccine LOT #Dose SeriesROUTESite
FLU3INFLUENZA (SEASONAL) (AFLURIA) CSL LIMITEDWT529060IMLA

Symptoms(s) associated with report# 738293

Contusion
Injection site pain
Joint range of motion decreased
Musculoskeletal pain
Pain
Swelling