Received Nov 6, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | N/A | TFAA2545 | IM / LA |
Pt received vaccine and then was checking out in store and fainted. Pt did not report any injuries and was monitored by rph and given orange juice at the request of the parent. Pt was feeling better and left prior to paramedics arriving.
Unknown - pt rep attested to pt not being sick at time of immunization
Unknown
Unknown
No known allergies per administration form
N/A