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This is VAERS ID 1433576

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433576
VAERS Form:2
Age:18.0
Sex:Male
Location:Louisiana
Vaccinated:2021-06-26
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / IM

Administered by: School      Purchased by: ??
Symptoms: Incorrect dose administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE KNOWN
Current Illness: NONE KNOWN
Preexisting Conditions: NONE KNOWN
Allergies: NONE KNOWN
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Higher than recommended dose administered to patient. Pt did not have any symptoms from injection immediately after through today, 3 days later. No complaints, local or systemic.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433576&WAYBACKHISTORY=ON


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