VAERS 1863652
MODERNA · COVID19 (COVID19 (MODERNA)) · Charge 037C21A, 024C21
- Staat
- CA
- Alter
- 41,0
- Geschlecht
- F
- Eingang
- 12.11.2021
- Impfdatum
- 28.10.2021
- Beginn
- 28.10.2021
- Tage bis Beginn
- 0,0
- Dosis
- 2
- Route/Site
- OT / LA
Symptomtext
RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe; This spontaneous case was reported by a health care professional and describes the occurrence of PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe) in a 41-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 037C21A, 024C21A) for COVID-19 vaccination. No Medical History information was reported. On 28-Oct-2021 at 3:00 PM, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 28-Oct-2021, the patient experienced PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe). On 28-Oct-2021, PRODUCT ADMINISTRATION ERROR (RN drew 0.4ml from bottom of one vial (037C21A) and 0.1ml from another adjacent vial (likely 024C21A) into a single syringe) had resolved. Not Provided For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medication information was provided. No treatment information was provided.
Weitere VAERSDATA-Felder
- Praegender Schweregrund
- Product administration error
- Hospital-Tage
- -
- Labordaten
- -
- Aktuelle Erkrankungen
- -
- Vorgeschichte
- -
- Andere Medikamente
- -
- Allergien
- -
- Vorherige Impfungen
- -