Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 2 | 946907 | IM / RA |
Systemic: Fainting / Unresponsive-Severe, Systemic: urination-Medium, Additional Details: asked patient if i could call anyone (EMS, friend, ect). patient refused to call anyone and left store., Other Vaccines: VaccineTypeBrand: priorix; Manufacturer: gsk; LotNumber: 49m2f; Route: sq; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: varivax; Manufacturer: merck; LotNumber: 2004246; Route: sq; BodySite: left arm; Dose: ; VaxDate: UNKNOWN