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This is VAERS ID 908678

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908678
VAERS Form:2
Age:19.0
Sex:Unknown
Location:South Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Product preparation error

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: during our covid vaccine clinic, we ended up giving 62 doses out of 60 vials. this was not realized until the end of the day when we had 2 doses left after we filled the 60 patient slots. there is apparently a small amount of overfill in the vials where 2 extra dose were able to be retrieved out of the 6 vials used. the patients did not receive a ''short dose'' they received the full 0.5ml. our state told us to report the overfill via VAERS. i will inform the nurses to only draw up 10 doses per vial at our next vaccine clinic.


Changed on 5/7/2021

VAERS ID: 908678 Before After
VAERS Form:2
Age:19.0
Sex:Unknown
Location:South Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Product preparation error

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: during our covid vaccine clinic, we ended up giving 62 doses out of 60 vials. this was not realized until the end of the day when we had 2 doses left after we filled the 60 patient slots. there is apparently a small amount of overfill in the vials where 2 extra dose were able to be retrieved out of the 6 vials used. the patients did not receive a ''short dose'' they received the full 0.5ml. our state told us to report the overfill via VAERS. i will inform the nurses to only draw up 10 doses per vial at our next vaccine clinic.


Changed on 5/14/2021

VAERS ID: 908678 Before After
VAERS Form:2
Age:19.0
Sex:Unknown
Location:South Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Product preparation error

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: during our covid vaccine clinic, we ended up giving 62 doses out of 60 vials. this was not realized until the end of the day when we had 2 doses left after we filled the 60 patient slots. there is apparently a small amount of overfill in the vials where 2 extra dose were able to be retrieved out of the 6 vials used. the patients did not receive a ''short dose'' they received the full 0.5ml. our state told us to report the overfill via VAERS. i will inform the nurses to only draw up 10 doses per vial at our next vaccine clinic.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908678&WAYBACKHISTORY=ON


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