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

This is VAERS ID 1371784



Case Details

VAERS ID: 1371784 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-02-17
Onset:2021-06-01
   Days after vaccination:104
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 023M20A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 RA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 3 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Extra dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: liver transplant
Preexisting Conditions: liver transplant
Allergies: n/a
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient rec''d 3 Moderna vaccines. He rec''d his first one on 2/17/21. He then rec''d a liver transplant on 3/21/21. His doctor told him to start the Moderna series over again. He rec''d a second vaccine on 4/29/21 and a third vaccine on 6/1/21.


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