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VAERS ID: 1846012

AGE: 8| SEX: F|STATE: Unk

Description

8 year old patient was administered the 0.3ml (30mcg) dose of the covid Pfizer vaccine inadvertently, no adverse effects noted at time of reporting

Symptoms

Incorrect dose administered, No adverse event

Vaccines

VAX DATE: 03 November 2021 | ONSET DATE: 03 November 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • IM
  • LA
  • 320308D

RECVDATE:04 November 2021
CAGE_YR:8
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:None
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:04 November 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:No known allergies
V_FUNDBY:
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