Received Jun 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Z004301 | IM / RA |
Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: passed out for about 30 seconds-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient experienced syncope after receiving the pnuemonia and shingles shot (patient is immunosuppressed) and loss consciousness breifly (about 30 seconds). After coming to patient was offered water and an ice pack while blood pressure was measured (104/60 mmhg). After sitting with the patient for 15 minutes, the patient felt she was okay to go. She stated that while this never happened before with vaccines, this has happened before when receiving prescribed medication infusions., Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: glaxosmithkline; LotNumber: PJ353; Route: lintramuscular; BodySite: left deltoid; Dose: 1; VaxDate: 06/07/2025