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This is VAERS ID 1328738

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1328738
VAERS Form:2
Age:38.0
Sex:Female
Location:Oregon
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 (JANSSEN)) / JANSSEN 1816022 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Incorrect dose administered

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:
Current Illness:
Preexisting Conditions:
Allergies: Adhesive tape, grass pollen, pollen extract
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Administration Error - Patient received 1mL dose instead of the intended 0.5mL dose.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328738&WAYBACKHISTORY=ON


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