Received Mar 2, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUX | INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
Reported Symptoms: 10001949: AMNESIA; Narrative: Other Relevant HX: Pt refused influenza vaccine on 12/5/2025 due to ADR with last vaccine. Report of amnesia Other: AMNESIA