National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1331481

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1331481
VAERS Form:2
Age:70.0
Sex:Male
Location:California
Vaccinated:2021-05-19
Onset:2021-05-19
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

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:
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.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1331481&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166