VAERS ID: 1854931

AGE: 7| SEX: F|STATE: CA (United States)

Description

Patient was supposed to received pediatric dose of Pfizer COVID-19 vaccine, but instead, received the adult dose. This occurred in the afternoon, around 3 PM of 11/8/21. Spoke to patient's mom around 5PM of 11/8/21, and she stated that patient was in a good mood, no symptoms as of yet. Informed mom to look out for any serious adverse events (chest pain, heart palpitations). Spoke to mom again on 11/9/21 at 12PM, and she stated that patient had developed a sore/tender arm, but no other symptoms as of yet.

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Pain in extremity, Tenderness, Incorrect dose administered

Vaccines

VAX DATE: 11-08-2021| ONSET DATE: 11-08-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FD0809 IM LA

RECVDATE:11-09-2021
RPT_DATE:
CAGE_YR:7
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-09-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.