Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3053115 | IM / LA |
Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Systemic: Body Aches Generalized-Mild, Additional Details: Customer was coadminstered a Shingrix vaccine in the right arm. The mNexSpike was administered in left arm. Later that day customer went to ER because left arm in severe pain. Was given Valium and Benadryl. Diagnosis was allergic reaction and muscle spasm at left shoulder after administration of vaccine. Following day spoke(10/18/25) with customer, stated pain had improved, feeling somewhat achy, and was taking ibuprofen. May follow up with PCP if symptoms did not keep improving., Other Vaccines: VaccineTypeBrand: Shingrix; Manufacturer: GlaxoSmithKline; LotNumber: 3273H; Route: IM; BodySite: Right arm; Dose: ; VaxDate: UNKNOWN