Received Oct 14, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA MNEXSPIKE)) | MODERNA | N/A | 3052034 | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | N/A | u8864ca | IM / LA |
Patient presents to pharmacy concerned about redness and warmth on left arm where he received two IMZ 10/12/2025. He received mNexspike and Flublok. I reviewed the normal ADRs with him, including erythema at injection site, pain at injection site, and swelling at injection site. Redness appeared to be a normal reaction to me-- approximately 2.5-3" wide in a band below the bicep. I reviewed literature and explained that I suspected the COVID vaccine to be responsible and that literature suggests resolution after a median duration of 4 to 6 days (range: 2 to 11 days). Patient is going to take cetirizine, apap/ibu as needed for discomfort and we will follow-up with him in 2 days to ensure complete resolution.
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