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

This is VAERS ID 1331481



Case Details

VAERS ID: 1331481 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Male  
Location: California  
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 (JANSSEN)) / JANSSEN 202A21A / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Expired product administered, Wrong product administered
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: PT RECEIVED FIRST J AND J VACCINE ON 4/21/21 AT THE DRUGGIST AND RECD A PHONE CALL NEXT DAY FROM THE DRUGGIST STATING THEY HAD BEEN GIVEN EXPIRED MODERNA VACCINE INSTEAD. DR CONSULTED AND OK TO RECD J AND J SINCE 2 WEEKS HAD PASSED. PT RECD J AND J VACCINE TODAY.


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