Received Nov 14, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | 1 | U8864AA | IM / LA |
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Z005765 | IM / RA |
Pt received Capvaxive and Flublok vaccinations on 11/12/25. Patient called the pharmacy and spoke with the pharmacist on duty. Per patient over-the-phone, she was given the Capvaxive in her right arm and Flublok in her left arm. On Wednesday (11/12/25) the patient was fine, but on Thursday morning around 6:30am, she said her right arm was red and swollen, she had a cough, and the rest of her body was stiff with aches. Her right arm was fine. She ate some soup, took a couple of OTC APAP tablets, and OTC Nyquil for her cough and went back to bed. She also c/o being sweaty. Today, she says her arm is still red, warm-to-the touch, and still is fever-free. I consulted her to continue to monitor her arm. I also encouraged her to take some Bendaryl OTC (oral) and use a cool compress to help with the reaction. I encouraged her to contact her PCP and/or urgent care if her arm or sxs get worse. I also let patient know we would reach out to her PCP with this information. Patient asked if she could use Zyrtec OTC. I told her that was fine if that was all she had, but recommended Benadryl for allergic reactions. She also asked if she could use topical Benadryl which I said was fine, but definitely take an oral antihistamine, at least.