From the 4/26/2024 release of VAERS data:

This is VAERS ID 902798

Government Disclaimer on use of this data

Case Details

VAERS ID:	902798 (history)
Form:	Version 2.0
Age:	72.0
Sex:	Male
Location:	North Carolina

Vaccinated:	2020-12-16
Onset:	2020-12-16
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-16

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EJ 1685 / 1	RA / IM

Administered by: Other Purchased by: ?
Symptoms: Circumstance or information capable of leading to medication error, Contraindicated product administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient marked that he had received the flu vaccine 7 days ago. This was missed on screening procedure and patient received the vaccine today. Contacted the CDC and instructed to enter a VAERS report.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902798