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

This is VAERS ID 1462076



Case Details

VAERS ID: 1462076 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-07-08
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0173 / UNK RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Immunisation, Product preparation issue
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.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Vial of vaccine improperly reconstituted and administered on 07/08/2021. Patient contacted on 07/09/2021. Home visit conducted on 07/10/2021 and correct dose of 0.3ml administered.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1462076


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