Received Oct 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | N/A | U8881AA | IM / LA |
Vaccine was administered to child patient around 5:00 pm on 10/11/2025. Patient's father consented to have Fluzone administered to his son. After vaccine was administered, patient left the vaccination area, got lightheaded and fell to the floor.