Received Aug 4, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 5 | 203J23A | IM / RA |
Reported Symptoms: 10022437:INSOMNIA; 10047666:VIVID DREAMS; Narrative: 95 year old male reports to that he had reaction to moderna vaccine. The vaccine was administered on 7/3/24 and the adverse reaction was reported on 7/8/24 to primary care team. He experienced insomnia and vivd dreams after having the vaccination. No further report of issue after 7/8. Other Relevant HX: Other: INSOMNIA, VIVID DREAMS