Received Nov 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 9r85waxgv89w | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Systemic: Hyperventilation-Mild, Systemic: Vomiting-Mild, Additional Details: pt fainted for 5 seconds and then came back to after shot #2, I supported her at the shoulder. i noted some heavy breathing but it didnt seem more than the patient gathering themself after the sting of an injection. after talking to her a few minutes, she reported nausea, and a tech. brought me a trash can and some water for the patient. she vomitted but said she felter better. we called EMS and EMS routed non emergency. they came and said she was ok. she then left the store, Other Vaccines: VaccineTypeBrand: fluarix 2025-2026; Manufacturer: gsk; LotNumber: 5r4cy; Route: intramuscular; BodySite: left deltoid; Dose: 00; VaxDate: 11/06/2025
nkda, no known allergies