Received May 28, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (OTHER) | UNKNOWN MANUFACTURER | UNK | — | — |
Patient stated she experienced blurred & double vision, along with dizziness and was hospitalized after receiving the flu vaccine 25 years ago. Brand and exact date of vaccine administration unknown.