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This is VAERS ID 1462076

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1462076
VAERS Form:2
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

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.
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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Link To This Search Result:

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


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