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||017F21A / 3||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Extra dose administered, No adverse event
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: Not illnesses
Preexisting Conditions: No outstanding health conditions
Allergies: No allergies
Diagnostic Lab Data: N/A - no adverse reactions
CDC 'Split Type':
Write-up: No adverse reaction - third dose (full dose of 0.5ml) was administered without proper implications (only risk factor was age above $g65).
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