Received Jun 15, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | 1 | Z016027 | IM / LA |
Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Additional Details: PT HUNCHED OVER STATING SHE FELT NAUSEOUS AFTER VACCINE GIVEN THEN PASSED OUT. WAS IMMEDIATELY RESPONSIVE AFTER, GAVE HER A BOTTLE OF WATER AND FANNED HER DOWN. SHE ASKED NOT TO CALL 911 AND LEFT STABLE , Other Vaccines: VaccineTypeBrand: HEPLISAV; Manufacturer: DYNAVAXTECHNOL; LotNumber: 947987; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: COMIRNITY; Manufacturer: PFIZER; LotNumber: NR6057; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN
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