Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||046A21A / 1||RA / IM|
Administered by: Private Purchased by: ??
Symptoms: No adverse event, Product administered to patient of inappropriate age
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
Other Medications: Cetirizine 10mg Fluticasone Hydrocortisone topical cream
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Patient was given Moderna vaccine #1 that has not yet been approved for patients age 16. No treatment necessary. No adverse effects noted at this time.
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