Received Oct 25, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| UNK | VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 1 | Y013009 | IM / LA |
Patient received pneumonia vaccine on 10/23/25 at around 4pm. Vaccine was administered intramuscularly in left deltoid muscle. Patient reports feeling the vaccine was administered too high in arm. Patient called pharmacy on 10/25/25 and reports pain and weakness in left arm, as well as limited range of motion from left shoulder. Patient denies any other adverse effects such as redness, swelling, or bump at administration location. Patient will continue to self-monitor symptoms for 1 week - she is taking anti-inflammatories and resting. She will follow-up with pharmacy if symptoms do not subside.