Received Sep 1, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3046714 | IM / RA |
Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash Generalized-Mild, Systemic: Exhaustion / Lethargy-Severe, Other Vaccines: VaccineTypeBrand: AREXVY (10-PK) KIT; Manufacturer: GLAXOSMITHKLINE; LotNumber: 957DA; Route: IM; BodySite: RIGHT ARM; Dose: 1; VaxDate: 08/12/2025