Report #2891802

Received Apr 6, 2026

Reports are unverified and do not show that a vaccine caused an event. Full disclaimer

Overview

Sex: Female
Age: 69 yrs
State: GA
Recovered: Unknown
Vaccinated: Mar 20, 2026
Onset: Mar 20, 2026
Days to onset: 0
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
FLU4	INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT)	SANOFI PASTEUR	1	UT8804DA	IM / RA

Symptoms (4)

Injection site bruisingInjection site erythemaInjection site swellingParaesthesia

Symptom narrative

Site: Bruising at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: patient daughter stated she had tingling in her arms similiar to guillian barre syndrome, Other Vaccines: VaccineTypeBrand: capvaxive; Manufacturer: merck sharp; LotNumber: Z0103052; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN

Allergies

none