| 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 | | 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 |
| 15 | | 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 |
| 16 | | 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 |
| 17 | | Mcdaniel | 01242022 | 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 |
| 18 | | 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 | | |
| 19 | | 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 | | |
| 20 | | Chick | 02/17/22 | The Caregiver of this person | 114 S BULLOCK DR | n/a | GARLAND | 9722762524 | 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 | | |
| 21 | | 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 | | |
| 22 | | 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 | |