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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0191 / 2||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Fatigue, Pain, Pyrexia, Incorrect dose administered, Incorrect product formulation administered
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Other Medications: Tylenol was taken hours after vaccine administration
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: n/a
CDC 'Split Type':
Write-up: Patient was given 0.3 mL of undiluted Pfizer Vaccine by pharmacist on duty. It was suppose to be the patients second dose. Patient received 6 times the dose. Patient developed severe fatigue and body aches about 12 hours later. Patient visited the urgent care overnight due to fever. Patient is currently resting at home and being monitored 24 hours after the administration of the vaccine.
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