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Administered by: Private Purchased by: Private
Life Threatening? No
Write-up: Received vaccine 11/6/02. Saw physician 11/8/02 with localized pain. Large area of erythema, warmth, tenderness and edema affecting the upper extremity. Pt states symptoms have slightly improved over last 12-24 hrs. Pt noticed tingling in arm on evening 1/6/02 felt like "a warm fluid." Symptoms stayed constant 2 days going away on 3rd day. Now arm really really tender. Has hot flashes of arm being hot. Always tingly. The information entered in box #13 is from the documentation in the pt''s medical record. However, the pt insists he was given the pneumonia shot in the right arm and that is what he reacted to. He stated the nurse told him which arm each was injected into-states he remembers his left arm bled after the flu shot and he didn''t bleed after the pneumonia shot. Per 60 day follow up: It is unknown if the patient has recovered. The patient has not been seen at clinic since 11/08/2002. Pt. returned for an influenza vaccination 11/20/03. He had no other physician visits since 11-08-02.
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