Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW0191 / 2||LA / IM|
Administered by: Other Purchased by: ??
Symptoms: Interchange of vaccine products
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: N/a
Current Illness: N/a
Preexisting Conditions: N/a
Diagnostic Lab Data: N/a
CDC 'Split Type':
Write-up: Patient came to facility to receive their second dose of COVID-19 mRNA vaccine. After administration, the clinician realized they had administered the incorrect mRNA vaccine as the patient''s vaccine card showed their first dose was a Moderna dose. Clinician notified the patient of the error. Clinician documented on the patient''s vaccine card that the second COVID-19 dose was Pfizer
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