Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 9jc49 | IM / LA |
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Pt fainted after vaccines given. Pt was leaned back and cared for by Rph and mother. Pt has history of this reaction with vaccines. Pt recovered and left pharmacy, Other Vaccines: VaccineTypeBrand: Comnirnaty; Manufacturer: Pfizer; LotNumber: NA4457; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN