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This is VAERS ID 1378229

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378229
VAERS Form:2
Age:31.0
Sex:Female
Location:Nevada
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site pain, Pregnancy, No adverse event, 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: Prenatal vitamin
Current Illness: None
Preexisting Conditions: Gestational diabetes
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Patient was given an undiluted dose of Pfizer vaccine. Patient is currently pregnant, due 6/25/2021 with a scheduled induction on 6/14/2021 due to gestational diabetes. Patient has had no adverse reaction to undiluted vaccine as of 6/7/2021. Patient has been contacted and notified of the undiluted dose given, only report is soreness at the injection site on 6/5/2021 but much better today 6/7/2021.

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