Received Feb 9, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (UNKNOWN)) | UNKNOWN MANUFACTURER | 1 | 3053258 | IM / RA |
Systemic: Neurological Disorder (diagnosed by MD)-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Other Vaccines: VaccineTypeBrand: SHINGRIXX; Manufacturer: GSK; LotNumber: N3HL7; Route: IM; BodySite: LEFT ARM; Dose: 1; VaxDate: 12/27/2025