Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | Na0587 | IM / LA |
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | N/A | NA0587 | IM / LA |
Systemic: Seizure-Mild, Additional Details: After vaccination was given, patient possibly went into a seizure. Emergency personnel was called, patient refused services and called someone to pick them up and drive them home. , Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406983; Route: Intramuscular; BodySite: Left Deltoid; Dose: N/A; VaxDate: 09/24/2025
Sulfa