Received Oct 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (AREXVY) | GLAXOSMITHKLINE BIOLOGICALS | 1 | 4TY55 | IM / LA |
Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Additional Details: Pt came in with rash on her arm on the left arm, she said she noticed it today and that is was itching. She got three vaccines that day and from what I can gather, it seems like that one causing the problem is probably the RSV vaccine., Other Vaccines: VaccineTypeBrand: Fluad; Manufacturer: Seqirus, Inc; LotNumber: 407244; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: Comirnaty; Manufacturer: Pfizer Pharm; LotNumber: MY9550; Route: IM; BodySite: Left Deltoid; Dose: ; VaxDate: UNKNOWN