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This is VAERS ID 1368862

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368862
VAERS Form:2
Age:42.0
Sex:Male
Location:Ohio
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 (MODERNA)) / MODERNA 037B21A / 2 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Inappropriate schedule of product administration

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: Patient received their second vaccine dose in the series (Moderna) at 22 days instead of the recommended minimum of 24.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368862&WAYBACKHISTORY=ON

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