Sex: F
Vaccine: RSV, RSV
Symptoms: Injection site reaction, Injection site swelling, Pain in extremity, Skin discolouration, Skin wrinkling
Clinical narrative: she received the Abrysvo vaccine on 09SEP2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis; she received the Abrysvo vaccine on 09SEP2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis; she received the Abrysvo vaccine on 09SEP2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis; she received the Abrysvo vaccine on 09SEP2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis; This is a spontaneous report received from a Nurse from medical information team.  A 79-year-old female patient received rsv vaccine prot.subunit pref 2v (ABRYSVO), as dose number unknown, single (Batch/Lot number: unknown) for immunisation. The patient's relevant medical history included: "allergic to latex" (unspecified if ongoing); "allergic to penicillin" (unspecified if ongoing); "major surgical intervention", start date: 2021 (unspecified if ongoing), notes: 3 years ago; "cancer in her jaw" (unspecified if ongoing). Concomitant medication(s) included: ELIQUIS; METOPROLOL TARTRATE; FUROSEMIDE; CANDESARTAN; ROSUVASTATIN; PREGABALIN; TYLENOL. Past drug history included: Clindamycin for Drug allergy. The following information was reported: VACCINATION SITE PAIN (non-serious), VACCINATION SITE SWELLING (non-serious), VACCINATION SITE PAIN (non-serious), VACCINATION SITE HAEMORRHAGE (non-serious) all with onset Sep2024, outcome "unknown" and all described as "she received the Abrysvo vaccine on 09SEP2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis". Additional information: The reporter is the patient and also a nurse who stated that she received the Abrysvo vaccine on 09Sep2024 in her left arm and is currently experiencing tenderness, swelling, pain, and ecchymosis. She wants to know what to do for relief of these side effects. In regard to pain, she stated that she's experiencing a lot of pain in arm. She reported that the pain did start on the day that she received the Abrysvo but has since gotten worse. She noted that as she's on a blood thinner, she would expect some ecchymotic area in the injection site. The ecchymosis is on the upper part of her left arm, below the shoulder, "about 5 or 6 fingers below and is very tender." She had noticed the bruising and ecchymosis that appeared as of yesterday, 18Sep2024, and stated that it was like a single ring that goes around the anterior part of the back part of her left arm. She also provided that she has slender arms and that the swelling is still there and there's quite a bit of fluid there still. When she put pressure on top of the swelling, it's quite tender. The tenderness appeared quickly after she received the shot. She also noted that her muscle seems to be okay, but the tenderness is high and then comes down 2 or 3 inches. Additionally, she provided that there was some redness initially, and was very sore. She's concerned as she has never had a reaction like this before from this kind of procedure. Her reaction is getting worse, the pain has persisted and increased, the color, and swelling have also increased, noting it could be internal bleeding.   The information on the batch/lot number for rsv vaccine prot.subunit pref 2v will be requested and submitted if and when received.