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 preparation 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 at this time
CDC 'Split Type':
Write-up: No symptoms no adverse effects. Incorrect reconstitution of complete vial. Diluent applied to vial 0.8 of saline instead of recommended 1.8ml as directed Patient received correct dose of 0.3ml Parent instructed to contact clinic if symptoms arise and to go to ER if life threatening symptoms occur.
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