Received Sep 12, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 6 | 3052586 | IM / LA |
12 and up Covid vaccine administered to patient less than 12 years of age
unknown
Chronic constipation Gross Motor Delay
none
No known allergies
none