1510072

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Product storage error
VAERS_ID:
1510072
CATEGORY:
2021
RECVDATE:
27 July 2021
STATE:
AGE_YRS:
13.00
CAGE_YR:
13
CAGE_MO:
SEX:
M
RPT_DATE:
SYMPTOM_TEXT:
Pfizer vaccine was administered after being discovered the vaccines were in the freezer for 11 days after the two-week standard time. Patient notified and given the option for an additional dose.
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
VAX_DATE:
13 July 2021
ONSET_DATE:
13 July 2021
NUMDAYS:
0
LAB_DATA:
V_ADMINBY:
UNK
V_FUNDBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
2
TODAYS_DATE:
27 July 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
VAX_TYPE:
COVID19
VAX_MANU:
PFIZER\BIONTECH
VAX_LOT:
EW0196
VAX_DOSE_SERIES:
1
VAX_ROUTE:
IM
VAX_SITE:
LA
VAX_NAME:
COVID19 (COVID19 (PFIZER-BIONTECH))