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VAERS Report 2095718

Case Report Section

Détails du rapport Vaer

Âge: 10 ans

Genre: Female

Région : Pennsylvanie

Patient décédé?
Non
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: fk5127


Date de réception du rapport
2022-02-08
Date à laquelle le formulaire est complèté
Date de vaccination
2021-12-01
Date d’apparition
0
Nombre de jours (date d’apparition – date de vaccination)
0
Description de l’événement indésirable

this patient was given and adult dose of the pfizer vaccine 0.3ml. the patient was 10 years old at time of administration. the on duty nurse missed verifying the age of the child 'patient" before she administered. the child's dose should have been 0.2ml. the nurse is no longer employed at this facility. this event has been reported to our safety team, the mother was contacted and the child was ok and did not have any adverse effect from this vaccine dose. she has since received second dose and was also fine after this administration. officially i am reporting that the incorrect dose was given to a child without any adverse reaction

Données de laboratoire
na
Liste des symptômes
incorrect product formulation administered
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