Received Aug 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 406982 | IM / LA |
Systemic: Seizure-Medium, Additional Details: Patient has hx of head injury from MVA 4 years ago. seizure occured within 4 minutes of vaccination. mild seizure lasting approximately 15 seconds. BP and Pulse normal when check 2 minutes later. PT fully recovered in less than 5 minutes, reporting no visual or imbalance problem. PT then was transported to neurologist who cleared PT for normal activities without restrictions, Other Vaccines: VaccineTypeBrand: meningitis(groupb) trumenba; Manufacturer: wyeth/pfizer; LotNumber: hp9987; Route: IM; BodySite: left deltoid; Dose: 1; VaxDate: 08/14/2025