Received Nov 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUR4 | INFLUENZA (SEASONAL) (FLUBLOK QUADRIVALENT) | PROTEIN SCIENCES CORPORATION | 1 | U8832BA | IM / LA |
Systemic: Abdominal Pain-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Cold sweats/clammy, diaphoresis-Medium, Additional Details: Patient returned to clinic approx 30 min after receiving vaccine with diaphoresis and complaints of severe stomach cramping. EMS was notified and pt transported to ED. While waiting for EMS to arrive, pt reported that she fainted in her car before coming back inside.
Lactose