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This is VAERS ID 1474495

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474495
VAERS Form:2
Age:12.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Incorrect dose administered, Patient uncooperative

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Originally tried vaccinating patient using their left arm. Patient moved arm during vaccine administration and more than half of vaccine did not enter patient''s arm. Re-dosed using right arm with new dose with no further problems.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474495&WAYBACKHISTORY=ON


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