Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||034C21A / 2||- / IM|
Administered by: Public Purchased by: ??
Symptoms: Product administered to patient of inappropriate age
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
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Age 17 years 11 months and 5 days old at time of second dose Moderna vaccine. Patient here with father. Reports no complaints following his first dose of Moderna. Patient here with father. Advised that he was under the required age 18 for vaccine.
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