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You are viewing patients aged: 76, in state: XB

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VAERS_IDRECVDATESTATEAGE_YRSCAGE_YRCAGE_MOSEXRPT_DATESYMPTOM_TEXTDIEDDATEDIEDL_THREATER_VISITHOSPITALHOSPDAYSX_STAYDISABLERECOVDVAX_DATEONSET_DATENUMDAYSLAB_DATAV_ADMINBYV_FUNDBYOTHER_MEDSCUR_ILLHISTORYPRIOR_VAXSPLTTYPEFORM_VERSTODAYS_DATEBIRTH_DEFECTOFC_VISITER_ED_VISITALLERGIESLink 1Link 2
118171104/08/2021XB76.076MNo reaction has happened. We gave the pt the Janssen vaccine because he said he had not had either Moderna or Pfizer and filled out paperwork saying the same. While we were logging immtrac stuff later in the day we say that he had received the first dose o04/07/202104/07/20210PHM204/08/20212021VAERSSYMPTOMS2021VAERSVAX