Received Nov 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | NA0846 | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Additional Details: PATIENT FAINTED AND EMS WAS CALLED AND PATIENT WAS GIVEN GATORADE AND ICE AND THE PATIENT WAS EVALUATED BY EMS AND RELEASED TO MUM, Other Vaccines: VaccineTypeBrand: FLUARIX; Manufacturer: ; LotNumber: ; Route: RIGHT; BodySite: ARM; Dose: ; VaxDate: 10/25/2025