VAERS ID: 1881025

AGE: 4| SEX: M|STATE: ND (United States)

Description

Patient's mom knowingly wrote down patient's incorrect DOB to read that patient was 5y.o. when really patient was only 4y.o. Patient was given first dose of Peds covid Vaccine which is only eligible for kids 5-11.

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

Product administered to patient of inappropriate age

Vaccines

VAX DATE: 11-17-2021| ONSET DATE: 11-18-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FK5127 IM RA

RECVDATE:11-18-2021
RPT_DATE:
CAGE_YR:4
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PUB
OTHER_MEDS:none that i am aware of
CUR_ILL:none that i am aware of
HISTORY:none that i am aware of
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKA
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.