Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||047B21A / 2||RA / SYR|
Administered by: Private Purchased by: ??
Symptoms: Interchange of vaccine products, 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: nka
Current Illness: nka
Preexisting Conditions: nka
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: Patient was given initial dose on 6/1/2021, dose given at the time was Pfizer. Today, July 7, 2021 patient arrives for 2nd dose, nurse reviewed papers completed by father which states Moderna and the child is given Moderna instead of the Pfizer vaccine. Patient was monitored for the 15 minutes and parent was notified of the error.
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