Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | 1 | X027348 | IM / LA |
Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypertension-Severe, Systemic: Shakiness-Medium, Additional Details: PATIENT'S BLOOD PRESSURE TAKEN AFTER ADMINISTERING VACCINE WAS 188/100 OXYGEN SAT WAS 99. EMS WAS CALLED AND PATIENT TAKEN TO THE HOSPITAL, Other Vaccines: VaccineTypeBrand: PNEUMOVAX 23; Manufacturer: MERCK; LotNumber: X027348; Route: IM; BodySite: LEFT DELTOID; Dose: ; VaxDate: UNKNOWN