Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19-2 | COVID19 (COVID19 (MODERNA BIVALENT)) | MODERNA | UNK | 3052036 | IM / LA |
Systemic: patient felt sick and achey-Mild, Additional Details: pt said she felt sick after 2 shots will only do 1 at a time now, Other Vaccines: VaccineTypeBrand: fluzone high dose; Manufacturer: ; LotNumber: ; Route: ; BodySite: ; Dose: ; VaxDate: UNKNOWN