Received Dec 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | — | IM / LA |
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | UNK | — | IM / LA |
Patient states received both vaccinations in the left arm. Patient states that she felt the injections were administered higher on the arm than previous vaccinations. Patient states she continues to experience extreme nerve pain that began the day following vaccinations. Patient is currently taking medication for this nerve pain. Patient states prescriber has diagnosed patient with SIRVA(shoulder injury related to vaccine administration). Patient attributes adverse reaction to vaccine.