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This is VAERS ID 1440827

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440827
VAERS Form:2
Age:64.0
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 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: No adverse event, Interchange of vaccine products

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: 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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