Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN||043A21A / 1||RA / IM|
Administered by: Public Purchased by: ??
Symptoms: Interchange of vaccine products, Inappropriate schedule of product administration
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt had received a dose of Moderna on 4/9/2021. Pt is incarcerated in Jail. Unable to check accuracy of information while doing jail clinic. Received a dose of J&J while at jail clinic.
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