Received Jan 15, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | 1 | TFAA2533 | IM / LA |
The patient let me know before his visit that he did not like needles/shots. I had him sit on the exam table prior to the immunization. I gave him his flu shot first in his left deltoid and he seemed fine. Then, I gave him a TB skin test on his right forearm approximately one minute after the flu shot. (TB skin test, lot # 90878, exp 6/27, Manufacturer: Endo, given in right forearm, intradermal injection). Approximately one minute after I finished giving him his TB skin test, he told me he was feeling "weird." I observed the patient and his face looked pale. He told me his ears were ringing and his face felt tingly. He told me this had never happened before. I told him to take deep breaths and I told him that he was likely having a vasovagal response where his vagus nerve had been overstimulated, causing his blood pressure to drop. He remained alert and calm and talked with me and did not pass out. He felt this way for about 3- 4minutes and then felt better. He had his head between his knees for a little bit of time to help with blood flow. He remained on the exam table all throughout not feeling well. After about 4-5 minutes, he felt all the way normal again. We discussed more, and he told me he had not eaten in about 7 or 8 hours. I told him to make sure he has a good meal with good hydration within a few hours of receiving a future immunization. I also told him to try to get only one immunization or needle stick at a time if possible in the future. He told me that he "looked at the needle" while I was administering and he said "I should not have done that." After he felt well, I asked if I could bring his mother in the exam room and update her as she was sitting in the waiting room. He told me yes and so I brought the mother in the exam room and updated her. The patient and his mother walked out together and he felt normal and walked out with a steady gait.
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