Received Nov 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) | SANOFI PASTEUR | 1 | U8862BA | IM / LA |
Systemic: Exhaustion / Lethargy-Medium, Additional Details: HUSBAND NOTIFIED (name withheld) THAT HAS BEEN HOSPITALISED AS PT FELT NO ENERGY AND HAS BEEN DIAGNOSED WITH URINARY TRACT INFECTION, ELEVATED LIVER ENZYMES AND ALSO CURRENTLY PUT ON OXYGEN FOR BREATHING, Other Vaccines: VaccineTypeBrand: COMINARTY; Manufacturer: PFIZER; LotNumber: MY9547; Route: INTRAMUSCULAR; BodySite: LEFT ARM; Dose: 0; VaxDate: 11/01/2025, VaccineTypeBrand: ABRYSVO ACT O VIAL; Manufacturer: PFIZER; LotNumber: MM9151; Route: INTRAMUSCULAR; BodySite: RIGHT ARM; Dose: 0; VaxDate: 11/01/2025, VaccineTypeBrand: PREVNAR; Manufacturer: WYETH PFIZER; LotNumber: MG7423; Route: INTRAMUSCULAR; BodySite: RIGHTA RM; Dose: 0; VaxDate: 11/01/2025