Received Sep 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 425CR | IM / RA |
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: At 9:32 AM, pt did have a vasovagal response and slid down chair in waiting room. She did not hit any body parts. She quickly became alert and oriented x 3 after 1 min. Pt elevated her legs and was given cool paper towel. Vitals were stable (Heart rate: 56, O2: 99%, B/P: 114/68) before she left. She did come with someone who was able to transport her home. , Other Vaccines: VaccineTypeBrand: Flu; Manufacturer: Flublok; LotNumber: TFAA2503; Route: IM; BodySite: right arm; Dose: 1; VaxDate: 09/06/2025, VaccineTypeBrand: Covid; Manufacturer: Moderna; LotNumber: 3052549; Route: IM; BodySite: right arm; Dose: 1; VaxDate: 09/06/2025