Duplicate middleware name 'NewRelicHeader'

[Maxwell2022]

I'm getting this error when starting our service. I looked at this closed issue but we are using version 11 of the agent so I don't think this is related.

{
      "type": "Error",
      "message": "Duplicate middleware name 'NewRelicHeader'",
      "stack":
          Error: Duplicate middleware name 'NewRelicHeader'
              at Object.add (/app/node_modules/.pnpm/@smithy+middleware-stack@2.1.1/node_modules/@smithy/middleware-stack/dist-cjs/index.js:178:19)
              at _DynamoDBDocumentClient.wrappedSend (/app/node_modules/.pnpm/@newrelic+aws-sdk@7.1.0/node_modules/@newrelic/aws-sdk/lib/v3/smithy-client.js:58:32)
              at ****Repository.put***** (/app/dist/src/modules/*****/*****.repository.js:116:28)
              at ****Repository.create***** (/app/dist/src/modules/*****/*****.repository.js:40:20)
              at ****Service.create***** (/app/dist/src/modules/*****/*****.service.js:26:61)
              at ****Resolver.complete***** (/app/dist/src/modules/*****/resolvers/complete*****.resolver.js:39:39)
              at /app/node_modules/.pnpm/@nestjs+core@9.3.12_@nestjs+common@9.3.12_@nestjs+platform-express@9.3.12_reflect-metadata@0.1.13_rxjs@7.8.1/node_modules/@nestjs/core/helpers/external-context-creator.js:67:33
              at process.processTicksAndRejections (node:internal/process/task_queues:95:5)
    }