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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||002C21A / 2||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Device connection issue, Syringe 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
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Diagnostic Lab Data: n/a
CDC 'Split Type':
Write-up: Syringe had a crack in it where it connected to the needle and the vaccine leaked out onto patient''s arm instead of being administer. Patient was then given another dose because the patient received very little if anything at all of the initial dose
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