National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1371408

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371408
VAERS Form:2
Age:23.0
Sex:Female
Location:Michigan
Vaccinated:2021-06-03
Onset:2021-06-03
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

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: 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.

New Search

Link To This Search Result:

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


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166