Received Nov 18, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (AREXVY) | GLAXOSMITHKLINE BIOLOGICALS | 2 | ye232 | IM / LA |
Patient came to pharmacy requesting RSV vaccination on 11/17/25 and received it the same day, however, unknown to the pharmacist (i.e., myself reporting on this form), patient had received RSV vaccination prior in 9/12/2023. Discovery of vaccine duplication not found until the following day, 11/18/25. I have reached out to the patient and left a message to reach back out to me to be able to properly answer the questions on this form, but have not received a response from the patient at this time. Currently, I do not know if the patient is experiencing any adverse events, nor do I know of any treatments/outcomes as a result.
Unknown to reporter at this time (explanation given in item 18). Based off clinical assessment of medications taken: Diabetes, Hypertension, Vitamin B-12 deficiency, Iron deficiency, Dermatosis
Unknown to reporter at this time (explanation given in item 18). Based off clinical assessment of medications taken: Diabetes, Hypertension, Vitamin B-12 deficiency, Iron deficiency, Dermatosis
Jardiance, Atorvastatin, Cyanocobalamin, Ferrous Sulfate, Losartan, Ozempic, Mometasone Furoate Solution, Hydrocortisone cream
Zestril
Per my answer in item 18, it is not known to me if the patient has had any testing or lab work done at this time.