Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0178 / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Product administered to patient of inappropriate age
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: N/A
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient''s mother misinformed us about patient''s age. Listed on form as incorrect DOB when actual birthday is exact date. Mother verbally confirmed the incorrect birthday several times during the visit. Issue was discovered at the time of billing when the insurance informed us of the exact date birthday. When we called the mother back to confirm which is correct, she admitted to putting the wrong birthdate on the form. We informed her that the patient cannot get a follow up immunization until after the actual date of birth.
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