1 | | A | 12022021 | The Medical Power of Attorney | 206 Carver St | | Garland | 972-205-3361 | sarroyo@garlandtx.gov | No | | No | No | COVID | | TEST ENTRY | | | | | |
2 | | Salk | 12/09/21 | The person mentioned above | 1500 Polio Lane | NA | Garland | 8675309 | atassin@garlandtx.gov | No | | 19 | No | | 4. Pfizer COVID-19 Vaccine Initial Series for individuals 12 years old and older – Two doses 21 days apart | | | | | | |
3 | | Shaeffer | 12/14/21 | The person mentioned above | 1909 Royal Crest Drive | . | Garland | 2146818314 | Linsey.Shaeffer@gmail.com | Yes | | 1 | No | Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 1. Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older – Two doses administered 28 days apart | | no, pt went elsewhere | | | | |
4 | | White | 12/27/21 | The person mentioned above | 705 W Ave B 1401 | Apt 1401 | Garland | 12149003724 | Michael rwhite42@gmail.com | yes | | 1 | no | Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 1. Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older – Two doses administered 28 days apart | | yes | | | | |
5 | | Otey | 12/27/21 | The person mentioned above | 2949 Big Ben Lane | n/a | Garland | 2146837023 | Trevisotey@att.net | Recent heart attack & compromised breathing | | 1 | No | Moderna COVID-19 Vaccine Additional Dose --28 days after the second dose Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
6 | | Ahmed | 12/28/21 | Other The Caregiver of this person | 3030 Kingswood Dr. | N/A | Garland | 2148751903 | hannanjahmed@gmail.com | Disabled; autism and uses wheelchair | | 0 | No | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | no, pt will c/b to r/s | | | | |
7 | | Moore | 12/28/21 | The Medical Power of Attorney | 9805 Pinehurst Dr | N/a | Rowlett | 2144769693 | jmoore8624@gmail.com | Wheelchair: quadriplegic | | 1 (2 total booster shots) | Yes | | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
8 | | NEUBERT | 12/28/21 | The Caregiver of this person | 1679 W. CAMPBELL RD | #6301 | GARLAND | 4097501456 | rmneubs@yahoo.com | YES | | 1 | NO | Moderna COVID-19 Vaccine Additional Dose --28 days after the second dose | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
9 | | Langrehr | 12/30/20 | The person mentioned above | 3633 plaza park drive | 3633 | Garland | 4695964750 | slangrehr@mail.com | COPD | | 3 | No | | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
10 | | White | 01/05/22 | The Caregiver of this person | 604 Ford Street | N/A | Garland | 4692233019 | bmilo@hallpark.com | She is 99 so she has to have a walker and assistance | | 1 | No but we are working on that. | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
11 | | Williams | 01/28/21 | The Caregiver of this person | 310 Beltline Rd | 4106 | Garland | 2143367252 | rogerbw1@gmail.com | yes, she is 98 and suffered a heart attack in the past six month and also has onset of dementia. She needs the booster, received the first two Madera shot at the Garland drive through event in February | | No | NO | Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | 3/112021 | yes | | | | |
12 | | White | 01/06/22 | Other | 223 Glenfield Drive | N/A | Garland | 9722719172 | bmilo@hallpark.com | Cane and he has seizures | | 2 | No | | 4. Pfizer COVID-19 Vaccine Initial Series for individuals 12 years old and older – Two doses 21 days apart | | | | | | |
13 | | Hochstein | 01/10/22 | The person mentioned above | 2314 Highmont Dr | - | Garland | 214-885-4386 | David _Hochstein36@yahoo.com | no | | 1 | no | Moderna COVID-19 Vaccine Additional Dose --28 days after the second dose | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
14 | | Mitchell | 01/12/22 | The person mentioned above | 5614 Cheyenne | | Garland | 972-849-6730 | | | | | | | | | | | | | |
15 | | Mitchell | 01/12/22 | The person mentioned above | 5614 Cheyenne | | Garland | 972-849-6730 | | | | | | | | | | | | | |
16 | | Mtchell | 01/12/22 | The person mentioned above | 5614 Cheyenne | | Garland | 972-849-6730 | | | | | | | | | | | | | |
17 | | Williams | 01/12/22 | The Caregiver of this person | 618 Alto | | Garland | 972-271-7887 | | | | | | | | | | | | | |
18 | | Langrehr | 01/12/22 | The Caregiver of this person | 3633 Plaza Park | | Garland | 469-596-4750 | | | | | | | | | | | | | |
19 | | Walton | 01/12/22 | The Caregiver of this person | 1614 Mosswood | | Garland | 214-715-1850 | | | | | | | | | | | | | |
20 | | Keeton | 01/12/22 | The Caregiver of this person | 1614 Mosswood | | Garland | 214-715-1850 | | | | | | | | | | | | | |
21 | | White | 01/12/22 | The person mentioned above | 223 Glenfield | | Garland | 972-271-9172 | | | | | | | | | | | | | |
22 | | Williams | 01/12/22 | The person mentioned above | 310 Beltline | 4106 | Garland | 214-336-7252 | | | | | | | | | | | | | |
23 | | White | 01/12/22 | The person mentioned above | 604 Ford St. | | Garland | 469-223-3019 | | | | | | | | | | | | | |
24 | | White | 01/12/22 | The person mentioned above | 705 W. Ave. B | 1401 | Garland | 214-900-3724 | | | | | | | | | | | | | |
25 | | Aguirre | 01/12/22 | The person mentioned above | 1513 Sam Houston | | Garland | 214-622-7593 | | | | | | | | | | | | | |
26 | | Moore | 01/12/22 | The Caregiver of this person | 9805 Pinehurst | | Rowlett | 214-476-9693 | | | | | | | | | | | | | |
27 | | Neubert | 01/12/22 | The Caregiver of this person | 1679 W. Campbell | 6301 | Garland | 409-750-1456 | | | | | | | | | | | | | |
28 | | Neubert | 01/12/22 | The Caregiver of this person | 1679 W. Campbell | 6301 | Garland | 409-750-1456 | | | | | | | | | | | | | |
29 | | Otey | 01/12/22 | The Caregiver of this person | 2949 Big Ben | | Garland | 214-683-7023 | | | | | | | | | | | | | |
30 | | Otey | 01/12/22 | The Caregiver of this person | 2949 Big Ben | | Garland | 214-683-7023 | | | | | | | | | | | | | |
31 | | Letcher | 01/10/22 | The person mentioned above | 4126 Windsor Dr | N/A | Garland | 2146428518 | jglwow@gmail.com | No | | 1 | Yes | | 1. Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older – Two doses administered 28 days apart | | no, left multiple voicemails | | | | |
32 | | E chavez | 01/14/22 | The person mentioned above | 2814 Wimbledon Court | Unit A | Garland | 2149182667 | payasita4324312@gmail.com | Heart failure | | None just me | No | pfizer COVID-19 | 6. Pfizer COVID-19 Vaccine Additional Dose – 28 days after the second dose | Pfizer COVID-19 | Yes | | | | |
33 | | Campbell | 01/19/22 | The Caregiver of this person | 709 Creekside Drive | No apartment | Mesquite | 972-658-1596 | brittkam7@aol.com | Yes | | None | Parents have guardianship over Kendall Campbell | | 4. Pfizer COVID-19 Vaccine Initial Series for individuals 12 years old and older – Two doses 21 days apart | | no, pt went elsewhere | | | | |
34 | | Mcdaniel | 01/24/22 | The person mentioned above | 608 Wentworth dr | None | Richardson | 2145344423 | Jamj2588@gmail.com | Yes | | 0 | Yes | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | yes | | | | |
35 | | Baker | 01/27/22 | The person mentioned above | 2902 Willow Ridge | | Garland | 972-754-9252 | | | | | | | | | | | | | |
36 | | Baker | 01/27/22 | The person mentioned above | 2902 Willow Ridge | | Garland | 972-754-9252 | | | | | | | | | | | | | |
37 | | Nuckols | 01/27/22 | The person mentioned above | 1731 Novel Cir. | | Garland | 972-480-7769 | | | | | | | | | | | | | |
38 | | Nuckols | 01/27/22 | The person mentioned above ` | 1731 Novel Cir. | | Garland | 972-480-7769 | | | | | | | | | | | | | |
39 | | McDaniel | 01/27/22 | The person mentioned above | 608 Wentworth | | Richardson | 214-534-4423 | | | | | | | | | | | | | |
40 | | Fishpaw | 01/27/22 | The person mentioned above | 4221 Princton | | Garland | 469-766-1951 | | | | | | | | | | | | | |
41 | | Chavez | 01/27/22 | The person mentioned above | 2814 Wimbledon | A | Garland | 214-918-2667 | | | | | | | | | | | | | |
42 | | Skinner | 02/10/22 | The person mentioned above | 1211 Ravina | | Garland | 972-278-2576 | | | | | | | | | | | | | |
43 | | White | 02/10/22 | The person mentioned above | 705 W. Ave. B | | Garland | 214-900-3724 | | | | | | | | | | | | | |
44 | | White | 02/10/22 | The person mentioned above | 223 Glenfield | | Garland | 972-271-9127 | | | | | | | | | | | | | |
45 | | Barron | 02/10/22 | The person mentioned above | 611 Parker Cir. | | Garland | N/A | | | | | | | | | | | | | |
46 | | Chick | 02/12/22 | The Caregiver of this person | 114 S BULLOCK DR | N/a | Garland | 9722762524 | tomchick70@gmail.com | Yes | | No | Yes | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
47 | | Chick | 02/12/22 | The Caregiver of this person | 114 S BULLOCK DR | n/a | GARLAND | 19722762524 | barbaratc39@gmail.com | yes | | 0 | yes | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
48 | | Chick | 02/22/22 | The Caregiver of this person | 114 S BULLOCK DR | n/a | GARLAND | 19722762524 | barbaratc39@gmail.com | yes | | 0 | yes | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
49 | | Lee | 02/22/22 | The person mentioned above | 5012 Burlingame | | Garland | 972-374-6872 | | | | | | | | | | | | | |
50 | | Beverly | 02/22/22 | The person mentioned above | 3301 Kenwood | | Garland | 972-475-1997 | | | | | | | | | | | | | |
51 | | Purrin | 02/22/22 | The person mentioned above | 1420 McCreary | | Wylie | 214-552-0313 | | | | | | | | | | | | | |
52 | | Pilkinton | 02/22/22 | The person mentioned above | 1113 Marion | | Garland | 972-276-0929 | | | | | | | | | | | | | |
53 | | Nguyen | 04/01/22 | The person mentioned above | 4009 Fletcher Dr | n/a | Garland | 972-496-0982 | xmai_nguyenx@yahoo.com | Yes | | 1 (total 2: for my husband & me) | No | | 7. Pfizer COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
54 | | Dang | 04/07/22 | The person mentioned above | 4009 Fletcher Dr. | | Garland | 972-469-0982 | | | | | | | | | | | | | |
55 | | Ramming | 04/07/22 | The person mentioned above | 1122 Bowie St. | | Garland | 469-829-5575 | | | | | | | | | | | | | |
56 | | Smith | 04/11/22 | The Caregiver of this person | 1222 Wagonwheel Rd. | single family home | Garland | 214-215-8549 | gregsmithdds@aol.com | both patients on walkers..very limited mobility | | just two..husband and wife | yes | Moderna COVID-19 Vaccine Additional Dose --28 days after the second dose Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 4. Pfizer COVID-19 Vaccine Initial Series for individuals 12 years old and older – Two doses 21 days apart | when needed | | | | | |
57 | | Stahl | 05/20/22 | The Caregiver of this person | 222 Xavier Dr. | | Garland | 972-840-2759 | | | | | | | | | | | | | |
58 | | TEst | 05/26/22 | The person mentioned above | 123 Carver | 1 | Garland | 21412314569 | bsolorzano@garlandtx.gov | No | | 1 | No | | 1. Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older – Two doses administered 28 days apart | | | | | | |
59 | | NEUBERT | 07/19/22 | The Caregiver of this person | 1679 W CAMPBELL RD | APT 6301 | GARLAND | 4097501456 | rmneubs@yahoo.com | YES | | 1 | NO | | 3. Moderna COVID-19 Vaccine Booster Dose – Administered at least 6 months after completing the initial series or 2 months for those who received an initial dose of Janssen | | | | | | |
60 | | Garcia | 07/21/22 | The person mentioned above | 2102 Pueblo Dr | N/a | Garland | 4694785767 | Pita.garcia03@gmail.com | My car has been repossessed, needing help with transportation | | 2 | No | | 5. Pfizer COVID-19 Vaccine Initial Series for children ages 5-11 years old – Two doses 21 days apart | | | | | | |
61 | | Castellanos | 09/14/22 | The Caregiver of this person | 4018 Glenrose Drive | N/A | Garland | 2144177689 | johnrcastellanos@yahoo.com | Yes, He has Mobility Issues | | 2 | Yes. His Daughter, Patricia C. Stansfield | | 2. Moderna COVID-19 Bivalent Vaccine Booster Dose – Administered at least 6 months after completing the initial series 7. Influenza (Flu) Vaccine (Inactivated or Recombinant) - Individual 6 months and older | | | | | | |
62 | | Castellanos | 09/14/22 | The person mentioned above | 4018 Glenrose Drive | N/A | Garland | 2144177689 | johnrcastellanos@yahoo.com | I am a Caregiver for Julian H. Castellanos, my 84 Year Old Father | | 2 | No | | 2. Moderna COVID-19 Bivalent Vaccine Booster Dose – Administered at least 6 months after completing the initial series 7. Influenza (Flu) Vaccine (Inactivated or Recombinant) - Individual 6 months and older | | | | | | |
63 | | Ramming | 10/04/22 | The person mentioned above | 1122 Bowie St | 1122 | Garland | 4698295575 | mramming@verizon.net | No | | None | No | Moderna COVID-19 Vaccine Additional Dose --28 days after the second dose | 2. Moderna COVID-19 Bivalent Vaccine Booster Dose – Administered at least 6 months after completing the initial series | | | | | | |
64 | | Smith | 11/09/22 | The Caregiver of this person | 7513 Oakhurst Trail | N/A | Garland | 214-532-2150 | carolmcdsmith@gmail.com | Yes | | 1 | Yes | | 2. Moderna COVID-19 Bivalent Vaccine Booster Dose – Administered at least 6 months after completing the initial series | | | Would also like for him to get the Flu shot | Yes. Medicare and Medigap with Blue Cross Shield of Texas | https://www.garlandtx.gov/3530/Forms | 4Y22-Y75-CQ13 - Medicare. ZGM860902166 - Blue Cross Blue Shield of Texas |
65 | | RAMIZEZ | 11/14/22 | The person mentioned above | 1710 TOBIN TRAIL | 2 | GARLAND TX 75043 | 2144783669 | BETT.CHRISTHOUSE@GMAIL.COM | WHEELCHAIR | | 2 | YES BUT ABLE TO MAKE DECISION NOW | | 7. Influenza (Flu) Vaccine (Inactivated or Recombinant) - Individual 6 months and older | | | | YES, HUMANA | https://www.garlandtx.gov/3530/Forms | H70390403 |
66 | | RAMIREZ | 11/14/22 | The person mentioned above | 1710 TOBIN TRAIL | 2 | GARLAND TX 75043 | 2144783669 | BETT.CHRISTHOUSE@GMAIL.COM | WALKER AND DEBILITY | | 2 | YES BUT ABLE TO MAKE DECISION NOW | | 7. Influenza (Flu) Vaccine (Inactivated or Recombinant) - Individual 6 months and older | | | | YES, HUMANA | https://www.garlandtx.gov/3530/Forms | H41591345 |
67 | | Beall | 11/16/22 | The Caregiver of this person | 1418 Stoneboro Lane | NONE | Richardson | 4692431449 | ltgov37@msn.com | Altzimer patient | | one | yes | | 7. Influenza (Flu) Vaccine (Inactivated or Recombinant) - Individual 6 months and older | | | | Medicare | https://www.garlandtx.gov/3530/Forms | 5MR7-CW4-MU76 |
68 | | | | | | | | | | | | | | | | | | | | | |
69 | | Fishpaw | 12/20/22 | Other | 4221 Princeton Drive | house | Garland | 469-766-1951 | cifishpa@gmail.com | weight is over 600 | | 1 | no | Moderna COVID-19 Vaccine Initial Series for individuals 18 years old and older | 2. Moderna COVID-19 Bivalent Vaccine Booster Dose – Administered at least 6 months after completing the initial series | | | Flue | market Place | https://www.garlandtx.gov/3530/Forms | Unknown |
70 | | Peterson | 01/04/23 | The person mentioned above | 1213 Alamo Lane | NA | Garland | 972-276-3524 | Cbaker429@gmail.com | Yes | | 0 | Yes | | TB test | | | Need TB test | Yes, Medicare | https://www.garlandtx.gov/3530/Forms | 9JN4-JD9-CV95 |