Received Nov 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3053669 | IM / LA |
Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: patients arm is red at vaccine site 4 days after vaccine administration-Severe, Additional Details: patient went to urgent care had reaction or infection from vaccine . urgent care gave patient an antibiotic,if it gets larger patient will go to emergency department, Other Vaccines: VaccineTypeBrand: mnexspike 2025-26; Manufacturer: moderna; LotNumber: 3053669; Route: im; BodySite: deltoid; Dose: ; VaxDate: UNKNOWN, VaccineTypeBrand: fluzone high dose; Manufacturer: sanofi; LotNumber: u8874ba; Route: im; BodySite: deltoid; Dose: ; VaxDate: UNKNOWN