Received Dec 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3052784 | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | 1 | TFAA2543PT REC | IM / LA |
PT RECEIVED BOTH VACCINES AT THE SAME TIME, IN THE SAME ARM. ALMOST IMMEDIATELY AFTER STEPPING OUT OF THE IMMUNIZATION ROOM, PT FELT LIGHT-HEADED AND DIZZY, APPEARED VERY PALE AND CLAMMY. HE WAS WITH HIS FATHER, WHO AFTER RECEIVING THE SAME 2 VACCINES, LEFT THE IMM ROOM AND WENT TO WHERE HIS SON WAS SITTING NEARBY. HE SPOKE WITH HIS SON AND ASKED FOR A BOTTLE OF WATER. WE OBTAINED A BOTTLE OF WATER FOR HIM, AND CHECKED ON HIS SON. PATIENT WAS VERY PALE AT THE TIME. EMTS WERE CALLED, AND HE WAS VISUALLY AND VERBALLY APPRAISED. HE DECLINED SEEKING FURTHER HELP AS HE WAS FEELING BETTER. HIS FATHER DISCLOSED THAT PATIENT HAS A HISTORY OF TURNING PALE AND FEELING UNWELL WHEN SEEING BLOOD. THERE WAS NO BLOOD, BUT HE DID RECEIVE 2 VACCINES IN THE SAME ARM AT THE SAME TIME.
UNKNOWN
NKA