Adverse Event Reporting
| VAERS ID | 902514 |
|---|---|
| Gender | Female |
| Age | 25 |
| StateCode | TX |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-15 |
| Onset | 2020-12-15 |
| Condition |
Symptoms
- Inappropriate schedule of product administration
Current Illness
N/A
Preexisting Conditions
none documented
Other Medications
N/A
Previous Vaccinations
Allergies
NKA
Laboratory Data
Write-up
System was not populating immunization record, member denied having immunizations within last 14 days.
Vaccine given, record populated and patient had anthrax on 12/10/20