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This is VAERS ID 1437353

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437353
VAERS Form:2
Age:52.0
Sex:Female
Location:Maryland
Vaccinated:2021-06-30
Onset:2021-06-30
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

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

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: Patient is currently being monitored for side effects. She was given the vaccine without the vial having the diluent added. This resulted in the patient having too high of a dose given.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437353&WAYBACKHISTORY=ON


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