Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | N/A | na4452 | IM / LA |
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Joint Pain-Medium, Additional Details: patient was given this and Fluad at same visit. will fill out VAERS for both products., Other Vaccines: VaccineTypeBrand: fluad; Manufacturer: seqirus; LotNumber: 407241; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN