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||EW0179 / 3||RA / IM|
Administered by: Private 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: alrex 0.2% drops, ascorbate calcium, aspirin, azelastine nasal spray, zyrtec, vitamin D, B-12, Colace
Current Illness: axillary lipoma
Preexisting Conditions: hypertension, asthma, dyspepsia, gastroesophageal reflux,
Allergies: amlodipine, clonidine, cephalosporins, Morphine, Lisinopril, Prilosec, Tramadol
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Patient''s first 2 doses were Moderna. Patient did not have vaccination card and system to verify was down. Patient reported Pfizer first 2 doses.
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