Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | na0587 | IM / RA |
Site: Bruising at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: herpes zoster outbreak on face-Severe, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: patient has a herpes zoster out break on face was taken to the urgent care on 09/27/25 and diagnosis confirmed no indication of bruising or break out on the day it started on 9/26/25 and progressed through the weekend, Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: seqirus; LotNumber: 407244; Route: im; BodySite: left arm; Dose: 1; VaxDate: 09/24/2025
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