Received May 19, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3053824 | IM / LA |
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Additional Details: Patient has large and discolored bruising on left arm that has been present since after 2 vaccines (Covid and HepA/HepB) were given in the same arm. Pain constantly present and patient's arm movement has been impacted. Recommended patient go see medical provider, states having appointment scheduled., Other Vaccines: VaccineTypeBrand: Twinrix (Hep A/HepB); Manufacturer: GlaxoSmithKline; LotNumber: KD272; Route: Intramuscular; BodySite: Left Arm; Dose: 1; VaxDate: 04/29/2026