Received Nov 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3052996 | IM / RA |
Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Additional Details: Symptoms manifested the day after she received the vaccine (Saturday, 11/15/25). Patient reported the event on Monday 11/17/25, Other Vaccines: VaccineTypeBrand: Fluzone High Dose; Manufacturer: ; LotNumber: U8874BA; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 11/14/2025
Penicillin