| Days after vaccination:||0
| Days after onset:||16
| Days after submission:||48
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES
||0F11222 / UNK
||LA / -
Administered by: Public Purchased by: Private
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Asthma/bronchospasm (narrow), Oropharyngeal infections (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: BP, diuretics, K+, & heart med
Current Illness: developed stiff neck at clinic.
Preexisting Conditions: Increased BP, Heart trouble, asthmatic Bronchitis.
Diagnostic Lab Data:
CDC Split Type: OH9056
Write-up: Pt vaccinated w/FLU developed sore throat & stiff neck. Dr told pt that he''d seen 5 other people who had got flu shots (seen same day as pt).