Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||- / 3||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: No adverse event, 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: none
Current Illness: none
Preexisting Conditions: Migraine Hearing loss hip pain bilateral knee pain hypertension GERD Sleep apnea Fibromyalgia neuropathy
Allergies: Shellfish, peanuts
Diagnostic Lab Data: n/a
CDC 'Split Type':
Write-up: Pt had received two Moderna vaccines and I gave the pt Pfizer vaccine as a booster. Pt did not have any adverse events at the time.
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