Received Jun 16, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3030371 | IM / RA |
Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Weakness-Mild, Additional Details: Patient not sure which vaccine gave the reaction, Other Vaccines: VaccineTypeBrand: Flu quad 2023-24; Manufacturer: ; LotNumber: 370266; Route: intramuscular; BodySite: right; Dose: ; VaxDate: 09/21/2023