Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||043A21A / 1||RA / IM|
Administered by: Public Purchased by: ??
Symptoms: Inappropriate schedule of product administration
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: none
Current Illness: Currently undergoing treatment for cancer
Preexisting Conditions: memory care patient in a long term care setting
Allergies: Seasonal allergies: pollen
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Patient was given Janssen covid-19 vaccine on 5-2-2021, when doing Alert data entry after vaccination it was discovered that the patient had received Moderna Covid-19 Vaccine in Jan/Feb of 2021.
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