Received May 5, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 7kd5b | IM / LA |
Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash Generalized-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Hypertension-Severe, Systemic: Unable to Sleep-Severe, Systemic: Weakness-Severe, Additional Details: Patient came to the pharmacy next day to report rash over body and arms but not at injection site., Other Vaccines: VaccineTypeBrand: shingrix (10-ok) kit; Manufacturer: glaxosmithkline; LotNumber: 55th4; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: prevnar 20; Manufacturer: wyeth/pfizer; LotNumber: ln4927; Route: im; BodySite: righ arm; Dose: ; VaxDate: UNKNOWN