Received Mar 30, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 6315MF006 | IM / LA |
Systemic: Fainting / Unresponsive-Severe, Systemic: Visual Changes/Disturbances-Severe, Systemic: Weakness-Severe, Additional Details: she stated she had a vaso vagal response and passed out. never happened before with vaccines. just blood draws previously. she was out for approximately 3 minutes.