VAERS ID: 1846012

AGE: 8| SEX: F|STATE: (United States)

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

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Symptoms

Incorrect dose administered, No adverse event

Vaccines

VAX DATE: 11-04-2021| ONSET DATE: 11-04-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH 320308D IM LA

RECVDATE:11-05-2021
RPT_DATE:
CAGE_YR:8
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:None
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-05-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:No known allergies
V_FUNDBY:

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