Received Nov 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3052583 | IM / RA |
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 5r4cy | IM / LA |
patient received 2 vaccines, one in each arm. patient mother instructed him to wait outside vaccination room due to space restrictions. upon completing patients brothers vaccines a loud crash was heard and banging on vaccine room door. bystander who happened to be physician notified myself (rph) and mother that patient had fainted. patient was instructed to sit in a chair. bp was taken (110/75) physician bystander noted pulse was normal. patient stated he fell on his buttocks and did not hit his head. physician did not see any indication at back of head that would indicate patient hit his head. unknown to rph and mother if patient lost consciousness. after sitting 5-10 minutes patient began to vomit/dry heave. at this time the decision was made to call EMS. ems came and evaluated patient. ems determined that it was not NECESSARY to transport patient to hospital but mother was given the option and decline at that time.
none given
none given
blood pressure at time of reaction : 110/75, blood glucose (taken by ems) 85, ems had patient performed several tests to assess gait and for confusion which was determined patient passed