Received May 19, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MMR | MEASLES + MUMPS + RUBELLA (PRIORIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | G9A34 | SC / LA |
| MMR | MEASLES + MUMPS + RUBELLA (PRIORIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | g9a34 | SC / LA |
Site: Pain at Injection Site-Mild, Additional Details: It appears that due to a communication issue, pt believed he was going to receive the polio vaccine, but instead signed up for the mmr vaccine. the exact conversation details are lost, but the pt at the time agreed to these 3 vaccines. Pt had difficulty communicating in withheld language, which may have led to the misunderstanding, Other Vaccines: VaccineTypeBrand: heplisav; Manufacturer: dynavax; LotNumber: 947341; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 04/21/2026, VaccineTypeBrand: boostrix; Manufacturer: glaxosmithkline; LotNumber: n4935; Route: intramuscular; BodySite: left arm; Dose: 1; VaxDate: 04/21/2026