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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1454649



Case Details

VAERS ID: 1454649 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-07
Onset:2021-07-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, No adverse event
SMQs:, Medication errors (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: zoloft 50mg daily
Current Illness: none known
Preexisting Conditions: anxiety/depression
Allergies: Penicillins
Diagnostic Lab Data:
CDC Split Type:

Write-up: patient came in for 2nd covid vaccine administration; mom did not have card with her and administered vaccine and realized patient was 1 week early for 2nd vaccine; pt waited for 15 minutes in office and did not complain of any adverse effects. Mom notified and informed that patient does not need 3rd vaccine;


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