Received Jul 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | m4b34 | IM / LA |
| VARZOS | ZOSTER (SHINGRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | 35a77 | IM / LA |
Patient was given immunization on 6/30/25 at a different pharmacy, but approached our pharmacy on 07/03/25 to ask about her adverse reaction. The following information was parsed based from database and the patient. She stated that she felt a shock down her arm at the time of vaccination. Over the course of the next couple days, she had throbbing pain in her left arm ,originating at the site of injection and moving down to her fingers. She mentioned difficulty with moving arm during this time. Other symptoms during this period included stomach cramps, headache, and profuse sweating. At presentation to our pharmacy on 7/3, patient stated the pain was still present but had decreased in magnitude. She also had a rash/inflammation about 3 inches in diameter, distal to the site of injection. She stated that the rash/inflammation had remained stable in size. Patient was encouraged to continue symptom management with ice packs, over the counter medications and to contact her primary if there were changes/worsening in the pain/rash.