Received Sep 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | H4K3S | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Additional Details: PT FAINTED AFTER VACCINE FOR ABOUT 2 MINS, EMS CAME IN TO CHECK ON HIM AND WAS GIVEN CLEARANCE, Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQIRUS INC; LotNumber: 948397; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN