Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | UNK | 3052549 | IM / LA |
Systemic: Fainting / Unresponsive-Mild, Other Vaccines: VaccineTypeBrand: spikevax 2025-26 (12y up) syringe; Manufacturer: moderna; LotNumber: 3052549; Route: IM; BodySite: left deltoid; Dose: ; VaxDate: UNKNOWN
No known allergies