Received Mar 30, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | Z0133 | IM / RA |
Systemic: Allergic: Rash Generalized-Mild, Systemic: Blood Disorder (diagnosed by MD)-Mild, Systemic: Body Aches Generalized-Mild, Systemic: Fever-Medium, Systemic: white coating in mouth, possibly thrush-Medium, Systemic: Lymph Node Swelling-Medium, Additional Details: Patient stated that he thinks the reaction was specifically from the capvaxive vaccine since he had the heplisav before and did not have any rxns. Patient described a white coating appeared inside his mouth and it made his throat very sore and lymph nodes felt swollen. He stated that he had a fever the next day and all weekend. He did not have a thermometer to check for the actual temperature but he could feel his body temperature was very hot. Body aches and body rash. Has MD appt 03/24/26, Other Vaccines: VaccineTypeBrand: Heplisav; Manufacturer: Dynavax; LotNumber: 947358; Route: Intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN