Received Sep 22, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 1 | 3052553 | IM / RA |
Systemic: Nausea-Mild, Additional Details: reported nausea after vaccine in waiting room to father who was in waiting room, asked if they wanted to bring pt back in the room for provider to evulate- parents declined. Called on 9/14 to check on patient, no answer- left VM with call back number , Other Vaccines: VaccineTypeBrand: flucelvax; Manufacturer: ; LotNumber: 406981; Route: IM; BodySite: Right Deltoid; Dose: ; VaxDate: 09/13/2025