Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (PRIORIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4k5x2 | SC / LA |
Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Additional Details: states she was having brain fog, headache, bodyache, vision loss, nausea, trouble breathing. said she received a ticket from a police officer afterwards and wanted us to reimburse her., Other Vaccines: VaccineTypeBrand: boostrix tdap syringe; Manufacturer: ; LotNumber: 5n9l9; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN