Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9jt4s | IM / LA |
Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium, Additional Details: A few minutes after vaccine administration of Boostrix and Menveo, pt collapsed and experienced a seizure for a few seconds. Upon coming to, pt was A&O x3 (name, state, president, unsure of date [during summer break]). Mom reported pt not liking needles or blood and that she pricked his finger earlier that morning. Pt also did not eat breakfast prior to appointment. He requested apple juice and candy corn and had some while seated and resting before mom took him to get medical attention. , Other Vaccines: VaccineTypeBrand: Menveo; Manufacturer: gsk; LotNumber: 9x7cd; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 08/07/2010
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