VAERS ID: 1850891

AGE: 8| SEX: M|STATE: CO (United States)

Description

While on the bus with his father, the 8 y/o pt was given an adult dose of the Pfizer vaccine by EMT. Patient did not experience any adverse reactions, or signs / symptoms of any issues.

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Symptoms

Incorrect dose administered, No adverse event

Vaccines

VAX DATE: 11-07-2021| ONSET DATE: 11-08-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FF2593 SYR RA

RECVDATE:11-08-2021
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:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-08-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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