Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0191 / 2||LA / IM|
Administered by: Other Purchased by: ??
Symptoms: No adverse event, Interchange of vaccine products
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
Current Illness: denies
Preexisting Conditions: denies
Diagnostic Lab Data: n/a
CDC 'Split Type':
Write-up: pt presented for 2nd covid vaccine without vaccine card, reported hx of Pfizer vaccination. Later presented to have card filled out and noted hx of moderna-1st dose, Pfizer-2nd dose. reports feeling well, no adverse reactions per patient on 6/9/21
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