Received Jun 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3030371 | IM / LA |
Systemic: Weakness-Mild, Additional Details: Flu like symptoms and patient not sure which vaccine gave the adverse reaction, Other Vaccines: VaccineTypeBrand: flu quad 2023-2024; Manufacturer: ; LotNumber: 370266; Route: intramusculr; BodySite: ; Dose: ; VaxDate: 09/19/2023