Received Mar 23, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 5l9a4 | IM / LA |
Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Shakiness-Mild, Systemic: Weakness-Mild, Additional Details: Patient said he felt dizzy then passed out completely (while sitting up), then regained consciousness after about 10 seconds. He sat for about 20mins until EMS arrived. They checked his vitals and took over his care. He was cleared and his wife came to pick him up and drive him home. Pt had never had any reactions before (his questionairre for some reason had answered YES to everything, even that he was pregnant etc, but the pharmacist went over his answers with him beforehand and he said NO), Other Vaccines: VaccineTypeBrand: Twinrix; Manufacturer: GSK; LotNumber: KD27Z; Route: im; BodySite: right deltoid; Dose: 1; VaxDate: 03/13/2026, VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer; LotNumber: NA0590; Route: im; BodySite: left deltoid; Dose: 1; VaxDate: 03/13/2026
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