Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | z005765 | IM / RA |
Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Medium, Additional Details: After symptoms occured, pt went to urgeant care who confirmed that her injury was related to vaccine administration. Told if symptoms get worse that she may need to get iv antibiotics, Other Vaccines: VaccineTypeBrand: flublok; Manufacturer: sanofi; LotNumber: u8864ba; Route: im; BodySite: right deltoid; Dose: ; VaxDate: UNKNOWN