National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1374359

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1374359
VAERS Form:2
Age:71.0
Sex:Male
Location:Michigan
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 3 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Extra dose administered

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 CAME IN TO GET COVID VACCINE, AND AFTER ADMINISTRATION UPON ENTERING THE VACCINATION INTO facility, WE NOTICED IT WAS REPORTED THAT HE HAD ALREADY RECEIVED BOTH DOSES OF PFIZER PREVIOUSLY IN THE YEAR. WHEN ASKED ABOUT THOSE VACCINATIONS HE CLAIMED HE HAD NOT BEEN VACCINATED PRIOR. WE WERE NOT ABLE TO GET ANY INFORMATION FROM THE VACCINATION SITE OF HIS PREVIOUS DOSES, SO WE ARE UNSURE WHICH DOSE THIS TRULY WAS.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1374359&WAYBACKHISTORY=ON


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