Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0196 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Incorrect product formulation 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: none
Current Illness: none
Preexisting Conditions: none
Allergies: Nickel, Latex
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Patient received one dose of Pfizer after receiving one dose of Janssen in March 2021. The patient intentionally misled the pharmacy to receive this vaccine based on a study the patient read in order to boost his immunity,
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