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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||039D21A / 1||- / IM|
Administered by: Other Purchased by: ??
Symptoms: Underdose, No adverse event, Syringe issue
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: Needle/syringe malfunction upon administering Moderna COVID-19 vaccine to patient on 09/30/2021. Administering provider noted approximately half of the vaccine dose administered, and half wasted. Doctor was consulted via telephone, and recommended 0.25ml to be administered to the patient to complete the full vaccination dose. Patient in agreement. No adverse reactions noted after the post vaccine observation period.
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