Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | h4k3s | IM / RA |
Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: Possible Arthus reaction. Swelling and pain in arm that presented about a week after receiving boostrix injection in right deltoid. , Other Vaccines: VaccineTypeBrand: ipol; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN