Received Jun 1, 2026
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 3 | nh9993 | SYR / LA |
Site: Redness at Injection Site-Mild, Systemic: Chills-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Severe, Systemic: Nausea-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Vomiting-Mild, Additional Details: tingling and blisters inside of mouth. mouth symptoms still present however other symptoms have resolved, Other Vaccines: VaccineTypeBrand: capvaxie; Manufacturer: merk; LotNumber: z012682; Route: im; BodySite: l deltoid; Dose: ; VaxDate: UNKNOWN