Received Feb 3, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 2 | — | IM / LA |
Patient's caregiver/wife notified me that patient was hospitalized due to blood clots caused by the COVID vaccine per the doctors diagnosis. He is not longer recommended by the doctor to recieved any future COVID vaccines. Date of Awareness: 02/03/2026