Received Apr 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | LP1780 | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT SAID SHE FAINTED BRIEFLY; NO OTHER SYMPTOM, , Other Vaccines: VaccineTypeBrand: fluzone; Manufacturer: sanofi; LotNumber: UT8463BA; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PREVNAR 20; Manufacturer: PFIZER; LotNumber: LJ5281; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN