VAERS ID: 1846716

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

Description

The patient was given an adult dose of the vaccine instead of the pediatric dose.

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Symptoms

Incorrect dose administered

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:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:None
CUR_ILL:None
HISTORY:Enlarged tonsils.
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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