Received Nov 9, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA MNEXSPIKE)) | MODERNA | UNK | 3052734 | IM / LA |
PATIENT HAS HISTORY OF VASOVAGAL RESPONSE, OCCURED WITHIN 5 MINTUES OF VACCINE. HASN'T HAPPENED TO PATIENT IN OVER 12 YEARS. PATIENT COLLAPSED AND HIT HER HEAD, WENT TO THE ER TO HAVE HEAD EVALUATED AND EVERYTHING CAME BACK NORMAL. PATIENT REPORTS FEELING NORMAL TODAY. AT TIME OF RESPONSE SHE FELT LIGHTHEADED AND HOT. REPORTED SWEATING.
NONE
NONE
BIRTH CONTROL (JULEBER), SERTRALINE AND LEVOTHYROXINE
NKDA
REPORTED FAINTING/VASOVAGAL RESPONSE AT 22 YEARS OLD