Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | UNK | 3052736 | IM / LA |
Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Weakness-Severe, Additional Details: Patient visited emergency room; had vertigo and saccral aneurysm. , Other Vaccines: VaccineTypeBrand: Fluzone High-Dose 2025-26; Manufacturer: Sanofi-Pasteur; LotNumber: UT8820BA; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: 10/11/2025