Received Sep 29, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RSV | RSV (ABRYSVO) | PFIZER\WYETH | UNK | MG2195 | IM / LA |
No adverse reaction reported. Vaccine was administered. Upon billing the claim, we reviewed a rejection stating that vaccine was already billed on 12/19/2023.