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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1440765



Case Details

VAERS ID: 1440765 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
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: Immune system disorder
SMQs:

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Weakened immune system cause unknown
Allergies: Unknown
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Health care professional administered an expired dose of vaccine in the patient.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440765


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