Received Oct 20, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | na4452 | IM / LA |
Site: Bruising at Injection Site-Mild, Additional Details: Notified parents right after administration. Tried calling mom multiple times between 10/12 and 10/13 to check on patient symptoms/recovery and no answer. Notified MD office 10/13 AM for patient records., Other Vaccines: VaccineTypeBrand: Flucelvax; Manufacturer: Seqirus; LotNumber: 406999; Route: IM; BodySite: Left Arm; Dose: ; VaxDate: UNKNOWN