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 / 2||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Expired product administered, Product storage error
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: Systemic: see comments-Medium, Additional Details: pt received expired vial of moderna; vial was punctured at 11am on May 30 2021 and the vaccine was given today June 1 2021. the open vial was not disposed of correctly end of day May 30 2021.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166