Received Nov 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | — |
Reported Symptoms: 10028322:MUSCLE PAIN; Narrative: Per chart notes, patient declined the 2025 COVID vaccine and reported since his last COVID vaccine (2024) he had experienced chronic right shoulder pain, in the same place that he had last received the vaccine. Per records, the vaccine had been administered outside of the facility. Records had been uploaded into the system through the database. Patient had received vaccine prior to this without documented complaints. Immunization Series Date Facility Reaction Info COVID-19 (PFIZER), MRNA, LNP-S, * 5 11/14/2022 DATABASE:STATE IIS COVID-19 (PFIZER), MRNA, LNP-S, * 3 04/21/2022 Pharmacy* COVID-19 (PFIZER), MRNA, LNP-S, * 3 10/12/2021 DATABASE:STATE IIS COVID-19 (PFIZER), MRNA, LNP-S, * 2 04/07/2021 Pharmacy* COVID-19 (PFIZER), MRNA, LNP-S, * 1 03/10/2021 Pharmacy* COVID-19 (PFIZER), MRNA, LNP-S, * 4 04/21/2022 DATABASE:STATE IIS COVID-19 (PFIZER), MRNA, LNP-S, * 4 10/12/2021 Pharmacy* COVID-19 (PFIZER), MRNA, LNP-S, * 6 03/23/2024 DATABASE:STATE IIS Other Relevant HX: Other: MUSCLE PAIN