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This is VAERS ID 1440750

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440750
VAERS Form:2
Age:66.0
Sex:Male
Location:North Carolina
Vaccinated:2021-07-01
Onset:2021-07-01
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440750&WAYBACKHISTORY=ON


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