Received Jun 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 93KK4 | IM / LA |
Site: Bruising at Injection Site-Medium, Site: Itching at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Other Vaccines: VaccineTypeBrand: SHINGRIX; Manufacturer: VSK; LotNumber: 93KK4; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: PNEUMOCOCCAL 21-VALENT CONJUGATE VACCINE(CAPVAXIVE); Manufacturer: MERK; LotNumber: Y019158; Route: IM; BodySite: LEFT UPPER ARM; Dose: ; VaxDate: UNKNOWN