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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1368440



Case Details

VAERS ID: 1368440 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8735 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Expired product administered, No adverse event
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: No known drug allergy
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient was inadvertently administered pfizer vaccine dose that was less than 30 minutes beyond use time. No known treatment or adverse effects. Unable to reach patient.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368440


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