Field | Content |
---|---|
VAERS_ID | 1066767 |
RECVDATE | 2021-03-02 |
STATE | NV |
AGE_YRS | 54 |
CAGE_YR | 54 |
CAGE_MO | |
SEX | M |
RPT_DATE | |
SYMPTOM_TEXT | Patient presented for 1st dose Moderna, when entering information into EMR an alert came up that the patient had a Pfizer COVID 19 vaccine on 12/15/2020 at another Medical Center. We share an EMR with them. Patient contacted on 3/2/2021. He stated he did not have a vaccine on 12/15/2020 and had never been to another hospital. He was advised to contact other hospitals HIM department. He will continue to receive his second dose at the due time. |
DIED | |
DATEDIED | |
L_THREAT | |
ER_VISIT | |
HOSPITAL | |
HOSPDAYS | |
X_STAY | |
DISABLE | |
RECOVD | |
VAX_DATE | 2021-02-23 |
ONSET_DATE | 2021-02-23 |
NUMDAYS | 0 |
LAB_DATA | |
V_ADMINBY | OTH |
V_FUNDBY | |
OTHER_MEDS | |
CUR_ILL | |
HISTORY | |
PRIOR_VAX | |
SPLTTYPE | |
FORM_VERS | 2 |
TODAYS_DATE | 2021-03-02 |
BIRTH_DEFECT | |
OFC_VISIT | |
ER_ED_VISIT | |
ALLERGIES | |
SYMPTOMS |
|
Field | Content |
---|---|
VAERS_ID | 1066767 |
VAX_TYPE | COVID19 |
VAX_MANU | MODERNA |
VAX_LOT | 001A21A |
VAX_DOSE_SERIES | 1 |
VAX_ROUTE | IM |
VAX_SITE | RA |
VAX_NAME | COVID19 (COVID19 (MODERNA)) |