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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1474977

Case Details

VAERS ID: 1474977 (history)  
Form: Version 2.0  
Age: 10.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Product administered to patient of inappropriate age
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Mom lied about the age of her child in order to get her the covid vaccine. I received a call from the office letting us know that she received a fax from us stating we gave a covid vaccine to a patient of theirs that was only 10 y/o. The office staff stated that when she saw the fax she noticed that the date of birth did not match any of their patients. After looking up the name she saw that the DOB was different so she called the patient''s mother. The office staff member said that the mother admitted that she lied to us about her daughter''s DOB in order to vaccinate her child.

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