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

This is VAERS ID 1331468



Case Details

VAERS ID: 1331468 (history)  
Form: Version 2.0  
Age: 11.0  
Sex: Female  
Location: Virginia  
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 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: No adverse event, Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

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: None
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: None
CDC Split Type:

Write-up: No adverse events, Pfizer vaccine was given to a patient younger than 12 years old because her mother purposely changed her daughter''s date of birth so her daughter can get the vaccine, after the vaccine was given the claim got rejected by the insurance for invalid date of birth, this is when the pharmacist called the mother and she told the pharmacist, that she did that on purpose because she wants her daughter to get the vaccine before her trip this summer!


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