VAERS ID: 1944478

AGE: 11| SEX: M|STATE: TX

Description

Pediatric dose volume (0.2ml) was drawn up from Adult Pfizer vial. The 11 year-old patient received 0.2 ml of the 12+ Pfizer vaccine. The parents of the patient were notified as soon as it was discovered and told to monitor child for adverse effects.

Symptoms

Incorrect dose administered

Vaccines

VAX DATE: 12-02-2021| ONSET DATE: 12-02-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH 30145BA IM LA

RECVDATE:12-13-2021
RPT_DATE:
CAGE_YR:11
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:12-10-2021
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.