Received Nov 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | z010457 | IM / RA |
Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: called 911 but pt said was fine and checked out by {withheld name} and emts and had daughter bring her home, Other Vaccines: VaccineTypeBrand: arexvy; Manufacturer: gsk; LotNumber: 7hz93; Route: im; BodySite: left arm; Dose: 1; VaxDate: 11/11/2025, VaccineTypeBrand: shingrix; Manufacturer: gsk; LotNumber: nm794; Route: im; BodySite: left arm; Dose: 2; VaxDate: 11/11/2025, VaccineTypeBrand: spikevax; Manufacturer: moderna; LotNumber: 3052549; Route: im; BodySite: right arm; Dose: ; VaxDate: 11/11/2025