Received Jun 22, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEP | HEP B (HEPLISAV-B) | DYNAVAX TECHNOLOGIES CORPORATION | 1 | 947988 | IM / LA |
Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Mild, Additional Details: PATIENT FAINTED A FEW MINUTES AFTER VACCINES ADMINISTERED. APPEARS TO HAVE FELL FROM CHAIR AND HIT THE BACK OF HER HEAD. HAD HER STAY ON HER BACK, ELEVATED HER FEET AND DRINK SOME APPLE JUICE WHEN SHE FELT WELL SHE REPORTED FEELING DIZZY. BLOOD PRESSURE WAS 102/72, PULSE 66. EMTS CALLED, THEY TOOK HER BP AGAIN AND STAYED W/ HER UNTIL HER COLOR RETURNED, BLOOD PRESSURE WENT UP AND SHE WAS ABLE TO WALK OUT ON HER OWN, Other Vaccines: VaccineTypeBrand: BOOSTRIX TDAP; Manufacturer: G-SK; LotNumber: 32B77; Route: IM; BodySite: LEFT ARM; Dose: ; VaxDate: UNKNOWN