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||E38733 / 1||LA / IM|
Administered by: Other Purchased by: ??
Symptoms: No adverse event, Product reconstitution quality issue
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
Diagnostic Lab Data: none applicable at this time
CDC 'Split Type':
Write-up: Incorrect reconstitution of vial. 0.8 mg of saline diluent to complete vial instead of 1.8 as directed. No symptoms, no adverse effects Patient received correct 0.3ml dose concentration of vaccine in dose is higher due to incorrect reconstitution. Parent notified and informed to contact the clinic directly if any symptoms occur. Also informed to go to ER if life threatening symptoms occur. None have occurred at this time.
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