Received Jan 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUC4 | INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) | SEQIRUS, INC. | 1 | 948440 | IM / LA |
Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Patient says he had vision changes and lost balance. Lost footing and was dazed but reports he did not lose consciousness. Was responding to questions and was able to sit and speak. Visible sweating and headache reported but after sitting down patient recovered quickly and did not want or need EMS . , Other Vaccines: VaccineTypeBrand: comirnaty; Manufacturer: ; LotNumber: ne4289; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN