Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | NA4457 | IM / LA |
Systemic: Dizziness / Lightheadness-Severe, Additional Details: Per RPH on duty 10/19/25: patient passed out while at the register after receiving vaccines. They called 911 and they took her. She hit her head when she fell. She is talking and alert., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 409108; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 10/19/2025, VaccineTypeBrand: Boostrix; Manufacturer: GSK; LotNumber: K4979; Route: Intramuscular; BodySite: Right Arm; Dose: 1; VaxDate: 10/19/2025