Received Apr 14, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | 2 | ZE4N7 | IM / LA |
REACTION OCCURRED ON 04/09/26 AT NIGHTTIME. SIGNS AND SYMPTOMS WERE BODYACHE, CHLLS, FEVER 38.0, PAIN IN ARM AND NAUSEA FOR 2 DAYS. PATIENT SELF-ADMINISTERED FEVER REDUCING/PAIN MEDICATION AT HOME. PATIENT DID NOT SEEK MEDICAL ATTENTION.