Received Mar 26, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | 1 | FAV041 | SYR / LA |
WEAKNESS, LIGHT HEADED, PRURITIS RASH (ENTIRE BODY), FACIAL EDEMA, MACULAR ERYTHEMA, URTICARIAL WHEALS. GIVEN 40MG MEDROL, 50 MG BENADRYL.
UNKNOWN
NONE AT THE TIME OF VACCINATION
UNKNOWN
PENICILLIN, SULFA