Received May 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | UNK | 3044069 | IM / LA |
Systemic: Chills-Medium, Systemic: Confusion-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: sleep walking/driving, in and out of consciousness-Severe, Systemic: Weakness-Medium, Additional Details: Pt got the moderna covid vaccine and capvaxive at the same appointment, pt reported being weak and tire. Pt says she sleeped walked during the middle of the night and sleep drove during the middle of the night with no specific place in mind. she realized what she was doing and drove back home. Pt says she was in and out of consciousness while driving, Other Vaccines: VaccineTypeBrand: capvaxive; Manufacturer: merck sharp; LotNumber: y019158; Route: im; BodySite: left arm; Dose: ; VaxDate: UNKNOWN