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||049C21A / 1||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: No adverse event, 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
Other Medications: Non
Current Illness: Non
Preexisting Conditions: Non
Diagnostic Lab Data: non
CDC 'Split Type':
Write-up: No adverse event. The only issue of concern is that, the patient was less than the 18 years threshold to qualify for the above vaccine.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166