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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1330654



Case Details

VAERS ID: 1330654 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Needle issue, Underdose
SMQs:, Medication errors (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: As I injected the patient with the dose, the needle was loose on the syringe and the vaccine had leaked out and patient was not given full dose and no was to tell how much actually went in the patients left arm. I was instructed to give a full dose in the patients right arm.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1330654


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