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This is VAERS ID 1428275

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428275
VAERS Form:2
Age:27.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 032M20A / 2 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Product storage error

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscommunication in the pharmacy resulted in the dose being administered greater than 12 hours after the vial had been punctured. Moderna was contacted regarding how to proceed. They said not to re-dose, but it was up to our judgement to contact patient. Patient was contacted. Voicemail was left, encouraging patient to call us if any side effects had occurred. No call back from patient as of yet.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1428275&WAYBACKHISTORY=ON


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