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||034C21A / 1||LA / IM|
Administered by: Public Purchased by: ??
Symptoms: Malaise, Extra dose administered
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: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Diagnostic Lab Data: unknown
CDC 'Split Type':
Write-up: Had completed two doses of Pfizer vaccine but did not disclose to vaccination staff therefore was given a dose of Moderna vaccine. Reported that he did not feel well the next day after receiving the Moderna dose, was in bed for the entire day, which resolved the next day.
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