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This is VAERS ID 1840376

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History of Changes from the VAERS Wayback Machine

First Appeared on 11/5/2021

VAERS ID: 1840376
VAERS Form:2
Age:7.0
Sex:Male
Location:Ohio
Vaccinated:2021-11-03
Onset:2021-11-03
Submitted:0000-00-00
Entered:2021-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0177 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Incorrect dose administered, No adverse event

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: Realized when entering information in state database that had given adult vaccine dose to pediatric patient. informed attending. spoke with infectious disease doctor. called mother. no adverse events at this time.

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