Received Mar 19, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPA | HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | 1 | MB599 | IM / RL |
None Known, guardians are requesting this form to be filed out.
Positive Strep B.
None Known
Vitamin D-3, Infants Gas Relief.
No know Drug Allergies.