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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1440750



Case Details

VAERS ID: 1440750 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Male  
Location: North Carolina  
Vaccinated:2021-07-01
Onset:2021-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Expired product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin 500mg daily Gabapentin 100mg daily Nitrostat .4 mg as needed Mucinex 600mg as needed
Current Illness: none
Preexisting Conditions: Acute and Chronic respiratory failure Hypertension Chronic heart failure Pre Diabetes Hyperlipidemia
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Health care professional gave this patient an expired dose of vaccine.


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