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This is VAERS ID 612051

Case Details

VAERS ID: 612051 (history)  
Form: Version 1.0  
Age: 48.0  
Gender: Female  
Location: Vermont  
Vaccinated:2015-10-20
Onset:2015-10-21
   Days after vaccination:1
Submitted: 2015-11-26
   Days after onset:36
Entered: 2015-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / IM

Administered by: Public       Purchased by: Other
Symptoms: Injection site pain, Muscle spasms, Muscle tightness
SMQs:, Dystonia (broad), Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: TYLENOL; NEXIUM; Gabapentin; SYNTHROID; CADUET; Citalopram; ADVAIR; CLARITIN
Current Illness: None
Preexisting Conditions: Sciatic; Allergy - NSAIDS OTC and prescription, Tramadol; KEFLEX, Clindamycin; Seasonal allergies; Codeine
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Employee flu, vaccine give left upper arm. Hurt a little as fluid injected, but seemed normal injection, achy as usual following day. With 1-2 days it continued to be nagging, but was having spasms/tightness. After a couple of weeks spread to tightness in shoulder and neck, incorporated left shoulder blade. I first thought it would go away. Taking TYLENOL 2-3 x day since beginning, recently tried muscle relaxants; routine visit with chiropractor suggest PT and see PCP for continued spasms/tightening-$g saw PCP starting PT scan and PCP said I should call Employee Health.


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