Received Feb 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) | SANOFI PASTEUR | 1 | U8531BA | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt vasovagaled while in chair during flu vaccine and TB administration. Brief LOC for 5-10 seconds. Pt woke up and vital signs were monitored for 15 minutes. No injury noted and pt did not fall out of chair. Pt reported history of vasovagal during procedures in past. Did not disclose this prior to shot. Pt Discharged home in stable condition. , Other Vaccines: VaccineTypeBrand: PPD test; Manufacturer: Sanofi Pasteur; LotNumber: 3CA4BC1; Route: ID; BodySite: Left lower forearm; Dose: 1; VaxDate: 01/08/2025