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

This is VAERS ID 1440827



Case Details

VAERS ID: 1440827 (history)  
Form: Version 2.0  
Age: 64.0  
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 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Interchange of vaccine products, No adverse event
SMQs:, Medication errors (broad)

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: none noted
Current Illness: none noted
Preexisting Conditions: none noted
Allergies: none noted
Diagnostic Lab Data: none
CDC Split Type:

Write-up: After administering the vaccine and getting ready to enter the shot into the system, it was discovered the patient had already received a dose of Janssen COVID vaccine in March 2021. Patient had answered no to receiving any other vaccines on intake form. He waited 15 minutes after administration with no adverse effects noted. He was also informed he would not need the second Pfizer vaccine, since he was already considered to be fully vaccinated according to current health guidelines.


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