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VAERS Report 2137066

Case Report Section

Détails du rapport Vaer

Âge: 67 ans

Genre: Female

Région : Maryland

Patient décédé?
Non
Renseignements sur les vaccins

Nom: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT)

Type : Influenza virus vaccine, quadrivalent

Fabricant: SANOFI PASTEUR

Lot: unknown


Date de réception du rapport
2022-02-24
Date à laquelle le formulaire est complèté
Date de vaccination
2021-11-10
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

the patient had severe pain at the time of the injection. the pain persisted for a significant period of time. slowly, the pain has improved but it has never gone away. the patient has had an ultrasound which showed some inflammation possibly around the bursa. an mri was recommended if the pain persisted. mri was performed yesterday but the results are pending

Données de laboratoire
an ultrasound of the right upper extremity was performed on 1/11/2022-the description is above. an mri of the patient's right shoulder was performed on 2/17/2022. results pending (as of 2/18/22)
Liste des symptômes
pain injection site pain magnetic resonance imaging inflammation ultrasound scan abnormal
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Private
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
sulfa antibiotics, bupropion, verapamil
Maladie actuelle
na