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

This is VAERS ID 1371408



Case Details

VAERS ID: 1371408 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Incorrect dose administered, Product preparation issue
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: Cetirizine 10 Mg Cap 1 daily, Imitrex 100mg tablet prn migraine
Current Illness: Back Pain
Preexisting Conditions: Seasonal Allergic Rhinitis due to pollen Morbid Obesity Intractable periodic headache syndrome
Allergies: Cephalexin - Hives Latex-Hives
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Pfizer/BioNTech vaccine incorrectly diluted. It was only diluted with 0.8mL of Sodium Chloride instead of 1.8mL Sodium Chloride. Pt given dose of the incorrectly diluted vaccine. After waiting her 15 mins post vaccine she did not have any adverse reaction.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371408


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