Received Nov 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3052550 | IM / LA |
Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: pt reported vomiting 48 hours after vaccines, went to ER and was diagnosed with appedix infection, Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 406999; Route: IM; BodySite: Left arm; Dose: 1; VaxDate: 11/16/2025