Received Sep 3, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3052586 | IM / RA |
Vaccine administered to patient with no approval guideline. The state requires approval for administration of this vaccine.
Information not provided by patient.
Information not provided by patient.
Information not provided
No allergies