Received Oct 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | N/A | 8146670 | IM / LA |
Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient felt dizzy after getting 2 shots and sat down on floor. It was discussed and decided to hold off on the third sheduled shot. He sat for awhile and was offered water/sugar. When he was ready he stood up to got sit on the bench, but as he started walking he fell to the ground as if he fainted. He was immediately responsive saying he was okay and after a few minutes was helped to the bench to steady himself. After about 15 minutes he walked out of store on his own., Other Vaccines: VaccineTypeBrand: Fluzone; Manufacturer: Sanofi; LotNumber: U8889CA; Route: IM; BodySite: Left Arm; Dose: N/A; VaxDate: 10/06/2025