Received Sep 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3046734 | IM / LA |
Site: Pain at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient states immunizer went too high on both vaccines and been 26 days and arm pain and mobility difficulty scared of permanent damage going to ER and please call patient and follow up, Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 948394; Route: IM; BodySite: left arm; Dose: ; VaxDate: UNKNOWN