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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0217 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Incorrect product formulation administered, Product use issue
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
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: The vaccine was mixed using a multi-dose vial of diluent. The diluent vial was punctured twice and used to mix two vials of vaccine. The injection was given IM but a 5/8 inch needle may have been used.
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