Received Oct 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | my9548 | IM / RA |
| FLU3 | INFLUENZA (SEASONAL) (FLULAVAL) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4NT7F | IM / LA |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | 2 | U8574AA | LA |
Syncope immediately after all 3 immunizations completed. Reported feeling funny just before fainting. Pale. Placed supine feet elevated. Nauseated. Pt reports not eating much that day. Able to ambulate out of clinic after approx 1 hour of monitoring.
Not known
Anxiety, migraines
Prozac, micronor, visatril prn, imitrex prn
NKA
Wellness exam