VAERS 2512391
SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) · Charge UJ953AA
- Staat
- NJ
- Alter
- 83,0
- Geschlecht
- M
- Eingang
- 19.11.2022
- Impfdatum
- 19.11.2022
- Beginn
- 01.11.2022
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- IM / LA
Tod: unbekannt
Lebensbedrohlich: unbekannt
Hospital: unbekannt
Disable: unbekannt
ER: unbekannt
Erholt: ja
Symptomtext
Patient received a vaccine on 10/13/22 at provider's office during his medical appointment. Patient's daughter forgot about his father receiving a flu vaccine already on 10/13/22. She made an appointment for her father to get a flu shot on 11/22, but showed up on 11/19/22. Consent form was reviewd and signed and initialized by the patient on 11/19/22. Customer received a flu vaccine at the pharmacy on 11/19/22. During billing it was discovered patient received a flu vaccine on 10/13/22. Upon inquiring with patient's daughter she mentioned about her father receiving at provider's office but completely forgot about it.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Extra dose administered
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -