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This is VAERS ID 1328297

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328297
VAERS Form:2
Age:14.0
Sex:Female
Location:Kansas
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Underdose

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unkown
Current Illness: none
Preexisting Conditions: none
Allergies: unkown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The certified immunizing pharmacy technician removed the needle from the patient''s arm before administrating the entire dose. She then activated the safety mechanism on the syringe and expelled the rest of the dose. The patient did not receive a full dose, but said she received more than half of the 0.3ml.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328297&WAYBACKHISTORY=ON


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