Received Nov 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | N/A | NA0590 | IM / LA |
Patient consulted with me (PharmD) prior to receiving vaccine to confirm it would be safe to receive the covid vaccine after having corticosteroid injection on Monday for tendonitis in the right arm. She stated that the orthopedics office administering the corticosteroid said it would be fine due to and I confirmed, as well as advised administering in the opposite arm of steroid injection. Patient received the vaccine via trained and certified pharmacy technician. She had a bit more bleeding than typically expected after vaccine. I also noticed slight inflammation at the site of injection and a small bruise. The bleeding stopped fairly quick with pressure. I reviewed all signs and symptoms of anaphylaxis and the patient denied any of the signs/symptoms (no shortness of breath, difficulty breathing or swallowing). She stated that she primarily felt nervous but was not sweating, did not state she was experiencing dizziness, or feel clammy/jittery. I cleaned the patient's arm with warm water, applied a cold compress, and monitored the patient for 15 minutes. I re-iterated that we had followed all protocol at administering the vaccine properly and that a small capillary in her arm may have triggered the bleeding and site injection. I informed her that I follow up with her primary care physician, as well as document within VAERS. I also let her know that I would be contacting her over the weekend to confirm how she was doing afterwards. I instructed her to take nsaids/acetaminophen for the site reaction and call EMS or report to urgent care/ER if anything changed.
Patient had a corticosteroid injection on 5 days prior to vaccine administration to treat tendonitis. Stated that ortho office confirmed she could have vaccines administered afterwards.
None reported. Patient stated she had tendonitis in her shoulder.
None reported.
Sulfa allergy stated.
None.