Received Sep 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | NA0738 | IM / AR |
Systemic: Fainting / Unresponsive-Medium, Additional Details: Pt briefly fainted and 911 was called but pt then refused for 911 to come and said hes feeling better. Pt stayed about 10 minutes more to feel all right and was driven home by caregiver. , Other Vaccines: VaccineTypeBrand: Fluarix; Manufacturer: GSK; LotNumber: 73BN2; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 09/10/2025, VaccineTypeBrand: Priorix; Manufacturer: GSK; LotNumber: 49M2F; Route: SC; BodySite: Left Arm; Dose: 1; VaxDate: 09/10/2025