Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | H4279 | IM / LA |
Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Other Vaccines: VaccineTypeBrand: MENVEO; Manufacturer: GLAXOSMITHKLINE; LotNumber: EK7DG; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN