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This is VAERS ID 1470486

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470486
VAERS Form:2
Age:37.0
Sex:Male
Location:Maryland
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022C21A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Product substitution

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: No
Current Illness: No
Preexisting Conditions:
Allergies: No
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: We noticed the patient was vaccinated with Moderna yesterday but had previously been vaccinated with Janssen on 3/6/21 (obtained through ImmuNet). It appears the person was pre-registered for the clinic via our MS system and answered ?Yes? to the question, Is this your first vaccine dose? Our staff ask the questions on the yellow screening form as well that ask as similar question if they have ever received a Covid vaccine. This is a vaccination administration error.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470486&WAYBACKHISTORY=ON


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