Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | N/A | 3052553 | IM / LA |
Systemic: Vomiting-Medium, Additional Details: After immunizations were given, patient looked at one of his arms which was bleeding a little bit, band aid was placed. He then started to vomit. Per his parents, he has vomited / almost passed out at the sight of blood in the past. He sat down and continued to vomit. I took his blood pressure which was low 64/29 with thready pulse in 40s. He remained responsive but clammy and pale. I called 911. I elevated his legs. His color returned and vitals improved by the time EMS came. Agreed to go to ED, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406999; Route: IM; BodySite: right arm; Dose: N/A; VaxDate: 09/19/2025
none