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This is VAERS ID 1474747

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474747
VAERS Form:2
Age:12.0
Sex:Female
Location:California
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 023C21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Interchange of vaccine products

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

Write-up: Was given Moderna vaccine as second dose instead of Pfizer.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474747&WAYBACKHISTORY=ON


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