Received Nov 10, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 8146670 | IM / LA |
Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Shoulder Joint Injury (prolonged pain, tingling, etc.)-Severe, Other Vaccines: VaccineTypeBrand: FLUCELVAX; Manufacturer: SEQUIRUS; LotNumber: 407008; Route: IM; BodySite: LA; Dose: ; VaxDate: UNKNOWN