Received Nov 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 948421 | IM / RL |
Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Additional Details: Patient reported feeling faint minutes after receiving two vaccines. Patient provided with cold water bottle & remainded seated throughout experience. Patient was seated on bench when began feeling faint and slumping over when patient mother noticed and propped patient up. When RPh [withheld] was alerted patient was already / still conscious -- unclear if lost consciousness briefly or not. Patient remained seated and had sips of water for several minutes before reporting to feeling better, Other Vaccines: VaccineTypeBrand: Comirnaty Covid-19 2025-26; Manufacturer: Pfizer; LotNumber: NA4457; Route: IM; BodySite: L arm; Dose: ; VaxDate: UNKNOWN