Received Mar 16, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | ps4d9 | IM / RA |
Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: ems called did ekg walked out with ems follow up call made left message, Other Vaccines: VaccineTypeBrand: spikevax; Manufacturer: moderna; LotNumber: 3052786; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: flucelvax; Manufacturer: seqirus; LotNumber: 948426; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN