Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||939906 / 1||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: Glucos-Chon-MSM-Ca-C-CtCl-SeCu - Tablet Orally. Vitamin B 12 100 MCG Lozenge 1 cap(s) Orally daily. Atorvastatin Calcium 40 mg Tablet 1 tablet Orally Once a day. Losartan Potassium 50 mg Tablet 1 tablet Orally bid. Carve
Current Illness: Hypertension, Hyperlipidemia, Hypothyroidism, GERD
Preexisting Conditions: Same as above
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Patient had an appointment for their 3rd dose of Pfizer (booster due to age) but was given the Moderna vaccine mistakenly. Patient has not had any problems with the vaccine so far.
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