Received Dec 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | MA2502 | IM / LL |
Patient was unresponsive, with tongue swelling and excessive drooling. Nurse assist was called. Ambulance took him to nearest hospital.
Unknown
Problem List on patients chart; Nervous Pain in both knees Pain in both lower extremities Respiratory Malignant neoplasm of unspecified part of unspecified bronchus or lung (HCC) Circulatory Tachycardia, unspecified Nonrheumatic tricuspid (valve) insufficiency Musculoskeletal Squamous cell carcinoma of face Endocrine/Metabolic Prediabetes Hematologic Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes (HCC) Other Major depressive disorder, single episode, unspecified Schizoaffective disorder, bipolar type (HCC) Carcinoma of groin (HCC) Personal history of malignant neoplasm Abnormal EKG Nicotine dependence, cigarettes, uncomplicated
Unknown what medications patient took the day of vaccine administration.
No known allergies
n/a