Report #2859701

Received Sep 18, 2025

ER / ED visit

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Overview

Sex: Female
Age: 65 yrs
State: NC
Recovered: Recovered
Vaccinated: Sep 18, 2025
Onset: Sep 18, 2025
Days to onset: 0
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	3052030	IM / UN
FLU3	INFLUENZA (SEASONAL) (FLUAD)	SEQIRUS, INC.	1	407257	IM / UN

Symptoms (4)

Anaphylaxis treatmentDyspnoeaLoss of consciousnessResuscitation

Symptom narrative

Patient after leaving the immunization room, came back and told the pharmacist that they could not breathe. As soon as the patient sat down per the pharmacist's instructions the patient passed out. The pharmacist administered epinephrine and started chest compressions.

Medical history

Chronic Cough; Depression

Other medications

Breztri Aero Sphere Inhaler 120; Metformin ER 500 MG 24HR TABS; Bupropion XL 300 MG TABS; Farxiga 10 MG Tablets; Paroxetine 40mg Tablets;