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This is VAERS ID 1374755

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1374755
VAERS Form:2
Age:34.0
Sex:Female
Location:North Carolina
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 EW0168 / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Interchange of vaccine products

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness: None
Preexisting Conditions: Unknown
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Incorrect brand given for second dose. Received Moderna for first dose and Pfizer for second dose.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1374755&WAYBACKHISTORY=ON


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