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This is VAERS ID 1474733

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474733
VAERS Form:2
Age:16.0
Sex:Female
Location:Arkansas
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 (MODERNA)) / MODERNA 027A21A / 1 RA / ID

Administered by: Private      Purchased by: ??
Symptoms: Product administered to patient of inappropriate age

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: Unknown
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Vaccine provided to patient under the approved age range.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474733&WAYBACKHISTORY=ON


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