Received May 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | Unknown | IM / RA |
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | lm2223 | IM / LA |
Site: Pain at Injection Site-Mild, Systemic: Cardiac Disorder (diagnosed by MD)-Medium, Systemic: venous damage per pt-Medium, Systemic: Hypertension-Mild, Additional Details: pt reported md has diagnosed him with "long covid" associated with vaccine-venous damage , Other Vaccines: VaccineTypeBrand: Flulaval; Manufacturer: ; LotNumber: 2724l; Route: im; BodySite: arm; Dose: ; VaxDate: 10/11/2024