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

This is VAERS ID 1440784



Case Details

VAERS ID: 1440784 (history)  
Form: Version 2.0  
Age: 56.0  
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 053C12A / 1 RA / 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: Silvadene cream twice a day Nicotine 21mg Flovent 110mg 2 pumps twice daily Albuterol 1-2 puffs every 4 hours as needed Lisinopril 30 mg once daily Aspirin 81mg one daily Simvastatin 40mg once daily Metformin 500mg twice daily
Current Illness: none
Preexisting Conditions: Diabetes Hypertension Hyperlipidemia COPD
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Health care professional administered an expired vaccine to this patient.


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