Received Oct 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | my9547 | IM / LA |
Systemic: Allergic: Rash Generalized-Mild, Additional Details: Rash (hives) on both arms, Other Vaccines: VaccineTypeBrand: influenza - fluad; Manufacturer: sequirus; LotNumber: 407241; Route: im; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN