Received Jul 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 793pt | IM / LA |
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Other Vaccines: VaccineTypeBrand: Shingles (Shingrix); Manufacturer: GSK; LotNumber: 2M7GR; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN