Received Nov 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA MNEXSPIKE)) | MODERNA | 4 | 3053756 | IM / UN |
She presented to the ED on 11/3 with weakness, nausea, and decreased appetite. Lab work demonstrated anemia, hemoglobin 9.6 with MCV 92.8, thrombocytopenia platelets 123, elevated liver enzymes AST 505, ALT 231, alk phos 374 and normal T. bili at 0.75. CT A/P with IV contrast revealed unremarkable liver, gallbladder, and biliary tree. Pancreas revealed parenchymal atrophy but no mention of PD dilatation. No lymphadenopathy. Acute hep panel negative. EBV and CMV serology revealed prior but no current infection. Further lab work was ordered to rule out possible causes of cholestatic liver injury negative for autoimmune hepatitis, PBC, PSC, alcoholic hepatitis, and celiac disease.