Vaccination Record For Mohamed Kortam.
Dose 1, Date 03/30/2021
Manufacturer:Moderna US, Inc.
Product:MODERNA COVID-19 VACCINE (PF)
Lot #:001C21A
NDC:80777-273-10
Dose:0.5 mL
Route:Intramuscular
Site:LEFT DELTOID
Location:Kaiser Permanente Northern California
Dose 2, Date 04/27/2021
Manufacturer:Moderna US, Inc.
Product:MODERNA COVID-19 VACCINE (PF)
Lot #:031A21A
NDC:80777-273-10
Dose:0.5 mL
Route:Intramuscular
Site:RIGHT DELTOID
Location:Kaiser Permanente Northern California