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VAERS Report 2095693

Case Report Section

Détails du rapport Vaer

Âge: 28 ans

Genre: Male

Région : Wisconsin

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: 33036bd


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2022-01-19
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

patient requested pfizer covid vaccine on 1/19/22 at clinic. he reported that he initially got his first dose about a year prior. he was advised to contact the clinic where he got his first dose for their records. he then came back to the clinic and stated that they did not have record of him receiving his covid vaccine and isn't sure if he maybe received a flu vaccine instead. he then reported he needed 2 doses of the covid vaccine to start work. his first dose was given on 1/19/22. his 2nd dose was given on 2/5/22. patient received 2nd dose 4 days early. patient was immediately notified he received his dose too early and was advised to closely monitor for symptoms. dose is considered valid since within 4 days of first dose. patient did not experience any adverse effects. error was noted when rn went to hand the patient his vaccine card and thought the dates seemed off

Données de laboratoire
na
Liste des symptômes
inappropriate schedule of product administration
Patient décédé?
Non
Date de décès
N/A
Anomalie congénitale
false
Vaccin administré par :
Private
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na