Received Apr 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19-2 | COVID19 (COVID19 (MODERNA BIVALENT)) | MODERNA | 7+ | 3044069 | IM / LA |
Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: major brusing under her arm near lymphnodes and they were painful-Severe, Systemic: Unable to Sleep-Severe, Systemic: Visual Changes/Disturbances-Severe, Other Vaccines: VaccineTypeBrand: covid spikevax; Manufacturer: moderna; LotNumber: 3044069; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN