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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||FC3184 / 2||LA / -|
Administered by: Pharmacy Purchased by: ??
Symptoms: Exposure during pregnancy, Incorrect product formulation administered
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
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: The event actually occurred at the mixing of the vaccine Pfizer vaccine was diluted with 1.8ml of Moderna vaccine instead of sodium chloride vaccine patient due in November
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