Received Jan 6, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | z012682 | IM / RA |
Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: Joint Pain-Severe, Additional Details: Patient describes as shoulder injury. She indicated immunization was administered too far back and too high in the arm. Initially she indicated 2 vaccines were given in the right arm (injured arm) but patient only received one vaccine in the right arm with 2 vaccines in the left arm (no injury indicated in left arm). She was provided with anti-inflammatory prescriptions upon visiting the urgent care. She states she has follow up with her primary care provider to address the continued discomfort., Other Vaccines: VaccineTypeBrand: Fluzone HD 2025-2026; Manufacturer: Sanofi-Pasteur; LotNumber: ut8804ca; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 12/22/2025, VaccineTypeBrand: Nuvaxovid 2025-2026; Manufacturer: Novavax; LotNumber: 6315MG002C; Route: IM; BodySite: Left Deltoid; Dose: 1; VaxDate: 12/22/2025