Received Mar 23, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLUX | INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | UNK | — | — |
Reported Symptoms: 10028813:NAUSEA; 10047700:VOMITING; Narrative: A 40yo male who presented to the facility - TWO - PCC on December 12, 2025, for his annual physical and to f/u on his other medical issues. During the visit, the PCC nursing intake note documented the patient stated "he is allergic to flu vaccine" and "declined to receiving all immunizations in the seasonal influenza vaccine group". The LPN reported the historical influenza induced reaction, as "nausea and vomiting". No other detailed information was provided regarding the vaccine. i.e. (Type, Lot #, Exp. date, when it was administered by who or where...) However facility immunization stats listed "Influenza, Split Virus, Trivalent, Preservative - Oct. 28, 2005" as one of the immunizations received. Other Relevant HX: Other: NAUSEA AND VOMITING