Received Oct 13, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3052663 | IM / LA |
Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Severe, Systemic: Fever-Severe, Systemic: no taste-Severe, Systemic: Nausea-Severe, Other Vaccines: VaccineTypeBrand: Fluarix 2025-2026 syringe; Manufacturer: GSK; LotNumber: 39R9B; Route: Intramuscular; BodySite: Right Arm; Dose: ; VaxDate: UNKNOWN
Propylene glycol