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This is VAERS ID 1438245

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1438245
VAERS Form:2
Age:58.0
Sex:Male
Location:Virginia
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026D21A / 1 RA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: No adverse event, Interchange of vaccine products

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: No adverse events that we are aware of. We input the vaccine in our state registry, agency, last night. We discovered that the patient had already received a Janssen vaccine 03/06/2021 at a different facility when we saw his record in the agency. We gave the patient first dose of Moderna 06/29/2021.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1438245&WAYBACKHISTORY=ON


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