Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 406983 | IM / LA |
Systemic: Fainting / Unresponsive-Medium, Additional Details: Vaccine administered per (name withheld) Clinic protocol by staff. Patient felt well prior to leaving examination room after appropriate waiting period. Patient ambulated to lobby and reported to her mother she felt "tired." Patient's family member notified staff; Staff and provider responded to patient and upon arriving in lobby, patient sitting in the chair and patient was assisted to ground as patient appeared pale. Ptexperienced no injury. VSS throughout. Recovered well within 1 minute and monitored
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