Received Feb 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| ANTH | ANTHRAX (BIOTHRAX) | EMERGENT BIOSOLUTIONS | 1 | 300214A | IM / LA |
| JEV1 | JAPANESE ENCEPHALITIS (IXIARO) | INTERCELL AG | UNK | JEV23JO1E | — |
| TYP | TYPHOID VI POLYSACCHARIDE (TYPHIM VI) | SANOFI PASTEUR | 1 | W1A991M | IM / LA |
Patient received 3 vaccines 28 Jan 2025 (typhoid #1, sanofi lot #W1A991M; anthrax #1 Emergent Biosolutions lot #30021A; JE-VC #1 Valneva lot #23J01E), all to her left deltoid. She reports onset of pain, tenderness, swelling to the injection site starting that night. She states it has improved but continues to be uncomfortable. She has difficulty with ROM due to pain, and disrupts sleep if lying on that side. She denies paresis or paralysis. She denies any prior AE after vaccine. She denies fever, chills, malaise, arthralgias, myalgias, CP, SOG or dermatitis. She had no immediate symptoms after receipt to suggest IgE mediated event