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This is VAERS ID 1367920

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1367920
VAERS Form:2
Age:12.0
Sex:Female
Location:Oregon
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ES0177 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Error: Patient Too Young for Vaccine Administered

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367920&WAYBACKHISTORY=ON


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