Received Jun 1, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| DTAP | DTAP (DAPTACEL) | SANOFI PASTEUR | 1 | n4935 | IM / LA |
Site: Pain at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Systemic: patient just reported to pharm. on 05/28/26 but stated this started after vaccine. was given on 04/14/2026. per patient she cannot raise her arm and that is swollen, pain in shoulder and that she was going to the doctor today 05/28/2026-Severe, Additional Details: patient stated she cannot sleep on her left side due to pain , Other Vaccines: VaccineTypeBrand: arexvy; Manufacturer: gsk; LotNumber: kh9kk; Route: intramuscular; BodySite: left arm; Dose: ; VaxDate: UNKNOWN