UCLA Health System
757 Westwood Plaza
LOS ANGELES CA 90095
United States of America
COVID-19 Vaccination Record
Shanell Latham
as of October 23, 2022
DOB: February 26, 1983
COVID-19 vaccination complete (1 of 2)
Dose 1 administered on July 22, 2021
Name:
COVID-19, vector-nr, (Janssen) 0.5 mL
Manufacturer:
Unknown Manufacturer
Lot #:
201A21A
Location:
DHS Covid Response Team
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