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||FD0809 / 3||LA / IM|
Administered by: Other Purchased by: ??
Symptoms: Extra dose administered, 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
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient requested booster dose of Pfizer. Patient did not bring vaccine cards to his booster appointment nor was he in the state vaccine database due to obtaining first vaccines out of State. The medical assistant gave the Pfizer booster based on the patient''s description and verbalized dates. Then the patient brought in his vaccine cards the next day and was found to have had Moderna vaccine for the first 2 doses. Patient had no adverse health events.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166