Received Feb 17, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 3 | 3052579 | IM / RL |
| DTAPIPV | DTAP + IPV (KINRIX) | GLAXOSMITHKLINE BIOLOGICALS | 5 | E2JX7 | IM / LL |
| MMRV | MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) | MERCK & CO. INC. | 2 | Z014407 | SC / RL |
Parent did not consent to COVID-19 immunization. Immunization was given. No adverse reaction such as difficulty breathing, facial swelling, facial rash were noted.
No documented or reported.
Retractile testis; Failed vision screen; and Speech delay
Noe taken at the time.
New possible nut allergy reported at office visit 2/16/2026.
None