Received Jan 26, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | PF44A | IM / LA |
Site: Pain at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: localized non itchy rash at left arm deltoid muscle-Mild, Additional Details: PT RECEIVED boostrix tdap vaccine on january 16,2026 and started rash 4 inches long and 2 inches wide at the site of upper left arm deltoid muscle on January 19, 2026 and is still present. however pt has not had any other reaction besides this rash. , Other Vaccines: VaccineTypeBrand: boostrix; Manufacturer: gsk; LotNumber: pf44a; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN
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