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This is VAERS ID 1073280

History of Changes from the VAERS Wayback Machine

First Appeared on 3/11/2021

VAERS ID: 1073280
VAERS Form:2
Age:68.0
Sex:Unknown
Location:Unknown
Vaccinated:2021-03-04
Onset:2021-03-04
Submitted:0000-00-00
Entered:2021-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 AR / IM

Administered by: Public      Purchased by: ??
Symptoms: Incorrect dose administered

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Client received an unknown dosage due to improper vaccine draw. Nurse administered 7 doses in one vial - Janssen vial contains only 5 doses, 6 doses maximum. Other client''s dosage verified by myself or other nurse leads.


Changed on 5/7/2021

VAERS ID: 1073280 Before After
VAERS Form:2
Age:68.0
Sex:Unknown
Location:Unknown
Vaccinated:2021-03-04
Onset:2021-03-04
Submitted:0000-00-00
Entered:2021-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 1805022 / 1 AR / IM

Administered by: Public      Purchased by: ??
Symptoms: Incorrect dose administered

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Client received an unknown dosage due to improper vaccine draw. Nurse administered 7 doses in one vial - Janssen vial contains only 5 doses, 6 doses maximum. Other client''s dosage verified by myself or other nurse leads.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1073280&WAYBACKHISTORY=ON


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