Received Dec 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | NA4457 | IM / LA |
Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Additional Details: PATIENT WENT TO SEEK MEDICAL HELP. THE REPORT NOTED THAT THERE WAS LOCAL URTICARIAL REACTIONS ONLY AROUND THE INJECTION SITE. , Other Vaccines: VaccineTypeBrand: FLUCELVAX 2025-2026; Manufacturer: SEQIRUS, INC.; LotNumber: 948420; Route: IM; BodySite: LEFT DELTOID; Dose: ; VaxDate: UNKNOWN