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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1440773



Case Details

VAERS ID: 1440773 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Jersey  
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 033C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Interchange of vaccine products, No adverse event, SARS-CoV-2 test positive
SMQs:, Medication errors (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient has reported no adverse event from her COVID vaccine. We are notifying you of an inadverdant admisnitration of the Moderna Vaccine to patient who had already received one dose fo the PFizer COVID vacccine. patient received Pfizer vaccine on 3/16/2021, developed COVID and was treated with monoclonal antibodies on 3/22/2021 . She presented for COVID vaccine and reported that she was instructed by her healthcare porvider that she could receive Moderna eben though she had started series with Pfizer. She had no reaction post vaccine and was instaructed that she had completed her mRNA vaccine series now.


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