Received Nov 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | F9K3L | IM / LA |
Site: Pain at Injection Site-Mild, Additional Details: PT DESCRIBED HAVING INJECT SITE PAIN 22 DAYS AFTER VACCINATION. PT DENIED NEUROPATHY PAIN, BUT STATED THE PAIN WAS WHEN AREA WAS TOUCHED OR PRESSED AGAINST. , Other Vaccines: VaccineTypeBrand: PRIORX VIAL; Manufacturer: GLAXOSMITHKLINE; LotNumber: 4K5X2; Route: SUBCUTANEOUS; BodySite: LEFT ARM; Dose: 1; VaxDate: 10/04/2025