Received Dec 28, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUARIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 2LY39 | IM / LA |
PATIENT HAS BEEN ALWAYS FINE WITH ALL HIS VACCINATIONS, A FEW MINUTES AFTER THE VACCINE HE BECAME UNCONCOIUS FOR A MINUTES, PHARMACIST CALL 911, AND BACAME ALERT AFTER A FEW MINUTES BACK TO NORMAL
NO ILLNESS
NO CHRONC OR LONG STANDING HEALTH CONDITIONS
NOT AVAILABLE
NO KNOW ALLERGIES
NO RELATED MEDICAL HISTORY