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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1433620



Case Details

VAERS ID: 1433620 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-06-26
Onset:2021-06-26
   Days after vaccination:0
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, Limb discomfort
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? 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: Patient was administered higher than recommended dose. c/o Left arm discomfort x 2 days. Denies any pain, swelling, redness today (3 days after vaccine). Pt had no other complaints.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433620


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