Received Dec 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3052671s | IM / LA |
Site: Pain at Injection Site-Mild, Systemic: hyperthyroidism-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypertension-Mild, Systemic: Nausea-Mild, Systemic: Tachycardia-Medium, Systemic: Unable to Sleep-Medium, Systemic: Weakness-Medium, Additional Details: PATIENT HAD SATRTED EXPERIENCING INCREASED HEART RATE, HOT FLASHES AND TREMORS FEW DAYS FOLLOWING COVID VACCINE. PT WAS DIAGNOSED WITH HYPERTHYROIDISM BY ENDOCRINOLOGIST , AND PROVIDER HAS LINKED DIAGNOSIS POSSIBLY TO COVID VACCINE. PT HAD TO MODIFY HER RUNNING DUE TO INCREASED HEART RATE AND FATIGUE SINCE THEN. SHE HAS ALSO BEEN FEELING ANXIOUS AND HOT AS WELL. HER BLOOD PRESSURE AND RESTING HEART RATE HAS ALSO INCREASED SINCE THEN. THERE WAS NO SIGNIFICANT INJECTION SITE REACTION., Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 4069996; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN