Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | NA4452 | IM / LA |
Site: Redness at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Flushed / Sweating-Mild, Additional Details: Patient reported feeling an itchy throat and some difficulty breathing around 10 minutes after the vaccines. Patient carries an albuterol inhaler and used it. Patient states that she usually only has an asthma flare up from exercise. Gave patient 2 banophen capsules from the vaccine kit. Monitored patient for the next 15 minutes. Patient felt much better after using inhaler. Patient purchased benadryl to take home and will call back if symptoms change/worsen., Other Vaccines: VaccineTypeBrand: Influenza Quad (Flucelvax); Manufacturer: ; LotNumber: 406981; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 10/17/2025
No known allergies