Received Sep 15, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3052036 | IM / LA |
Systemic: BACK PAIN AND SWEATING-Mild, Additional Details: PT RESTED AFTER VACCINE WATER GIVEN AND SYMPTOMS OF PAIN SUBSIDED WAITED FOR HUSBAN TO GET VACCINES AND WAS FINE TO GO REFUSED MEDICAL CALL TO PARAMEDICS , Other Vaccines: VaccineTypeBrand: FLUAD; Manufacturer: ; LotNumber: 407243; Route: IM; BodySite: RT ARM; Dose: ; VaxDate: UNKNOWN