Received Jul 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9jt4s | IM / RA |
Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Weakness-Severe, Additional Details: paramedics arrived and moved patient to ambulance for further testing until patient's mother arrives, Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: GSK; LotNumber: 9jt4s; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN
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