Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 73BN2 | IM / LA |
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: FLURIX WAS GIVIN BY A (PHARMACY TECHNICIAN) INTO LEFT DELTOID MUSCLE. VACCINE WAS PROCESSED UNDER PHARMACIST CREDENTIALS. PATIENT DEVELOPED MILD TO MODERATE SWELLING AT THE INJECTION SITE. (withheld name), PHARMACY MANAGER, HAD FOLLOWED WITH PATIENT'S MOTHER AND PROVIDED ALL INFORMATION FOR VACCINATION.