Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 93kk4 | IM / LA |
Systemic: Abdominal Pain-Medium, Systemic: Tachycardia-Severe, Systemic: Weakness-Medium, Additional Details: Patient had vaccine given at 10:40 am on on 8/26/25. got heart rate go up to 131 bpm aroun 5pm, morning of 8/27/25, heart rate went up to 180 bpm. need to be administered to the hospital. Pt reqort weakness, feel hot, stomach upset, and hight heart rate., Other Vaccines: VaccineTypeBrand: Abrysvo ACT-O-VIAL; Manufacturer: Pfizer; LotNumber: MD5462; Route: IM; BodySite: L; Dose: 1; VaxDate: 08/26/2025, VaccineTypeBrand: Fluzone High-dose 25-26; Manufacturer: Sanofi; LotNumber: UT8763FA; Route: IM; BodySite: L; Dose: 1; VaxDate: 08/26/2025