Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 948397 | IM / LA |
Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Other Vaccines: VaccineTypeBrand: comirnaty; Manufacturer: pfizer; LotNumber: na0587; Route: im; BodySite: right arm; Dose: ; VaxDate: UNKNOWN