No adverse event, Product administered to patient of inappropriate age
- VAERS_ID:
- 1788464
- CATEGORY:
- 2021
- RECVDATE:
- 14 October 2021
- STATE:
- PA
- AGE_YRS:
- 16.00
- CAGE_YR:
- 16
- CAGE_MO:
- SEX:
- F
- RPT_DATE:
- SYMPTOM_TEXT:
- Patient received Janssen COVID vaccine. After vaccine was administered it was identified that patient was 16 years old and did not meet EUA age requirements. No adverse reactions were noted.
- DIED:
- DATEDIED:
- L_THREAT:
- ER_VISIT:
- HOSPITAL:
- HOSPDAYS:
- X_STAY:
- DISABLE:
- RECOVD:
- Y
- VAX_DATE:
- 25 September 2021
- ONSET_DATE:
- 25 September 2021
- NUMDAYS:
- 0
- LAB_DATA:
- V_ADMINBY:
- PVT
- V_FUNDBY:
- OTHER_MEDS:
- CUR_ILL:
- HISTORY:
- PRIOR_VAX:
- SPLTTYPE:
- FORM_VERS:
- 2
- TODAYS_DATE:
- 14 October 2021
- BIRTH_DEFECT:
- OFC_VISIT:
- ER_ED_VISIT:
- ALLERGIES:
- VAX_TYPE:
- COVID19
- VAX_MANU:
- JANSSEN
- VAX_LOT:
- 212A21A
- VAX_DOSE_SERIES:
- 1
- VAX_ROUTE:
- IM
- VAX_SITE:
- RA
- VAX_NAME:
- COVID19 (COVID19 (JANSSEN))
