Received Oct 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | 1 | U8959AA | IM / LA |
Fri 9/14 Flu shot 1230pm chills & headache 10:00 pm severe dizziness during night passed out 7:30 am 9/20/25 B/P remained low 85/20 though Sunday night 9/22/25 Treatment - BEDREST - B/P check:
None
Well controlled asthma, GERD
see next page
Penicillin, shrimp