VAERS 1299390
SANOFI PASTEUR · INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) · Charge UJ432AA
- Staat
- CA
- Alter
- -
- Geschlecht
- M
- Eingang
- 08.05.2021
- Impfdatum
- 01.08.2020
- Beginn
- -
- Tage bis Beginn
- -
- Dosis
- UNK
- Route/Site
- OT / -
Symptomtext
a small lump on at injection site; Initial information regarding an unsolicited valid non-serious case was received from a pharmacist via Medical Information (Reference number- 00580956). This case involves a 45-year-old male patient who had a small lump on at injection site (vaccination site mass) while receiving INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient's medical history, past medical treatment(s), vaccination(s), concomitant medications and family history were not provided. In August 2020 (date not reported), the patient received a 0.5 mL dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (lot UJ432AA and expiry date: 30-Jun-2021) via an intramuscular route in the arm for prophylactic vaccination. On an unknown date, the patient developed a non-serious a small lump on at injection site (vaccination site mass) (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B VACCINE. The patient recently presented to pharmacy with a small lump on his right upper arm. He stated that this bump developed at the FLUZONE injection site and has not gone away for 8 months. When providing template information, pharmacist stated that their documentation indicates that patient received vaccine in his left arm. Pharmacist states that he may have switched arms after the information was keyed into the computer. Pharmacist reported that bump was about as small as "the circle part" of a ball-point pen- definitely smaller than a dime. It was hard and painless and feels like scar tissue. The details of laboratory data were not reported. It was not reported if the patient received a corrective treatment for the event. At time of reporting, the patient had not recovered from the event.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Injection site mass
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -
