Received Nov 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | UNK | 8146743 | IM / LA |
Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Chills-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Additional Details: Sudden onset, mostly HTN (140/90) and elevated HR (~90) for about 30 min, then reduced WNL at which point chills/shivers set in for about an hr before mostly subsiding. Pt waited in pharmacy with water and granola bar before feeling well enough to leave., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 407009; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN