Well, there doesn't seem to be any need to falsify/forge anything. Just simple omission seems to do the trick*.
For example, consider report ID 1313795 in VAERS[1,^]:
> My goal was to get a vaccine from each manufacturer. I accidentally ended up with multiple sets of pfizer. Pfizer #1 on 02/12/2021 at 3pm, in right arm Pfizer #2 on 03/06/2021 at 1 pm. In left arm Had the Johnson and Johnson vaccine 04/12/2021 at 1 pm. On 04/14/2021 at 3:30 pm - 9 pm nose bleed occurred. Had Pfizer #1 on 04/18/2021 at 8:30 pm, Pfizer #2 on 05/02/2021 at 6:30 pm Sex on 04/22/2021. Not on any birth control. Taking 50 MG each day of serialize.
Or consider report ID 1433490:
> "Patient notated she is here to receive 1st dose of any COVID-19 vaccine. After billing insurance, rejected claim said ""Duplicate/Paid Claim"". Looked on and patient's profile showed that she received multiple doses of Pfizer at various locations in. Received on 4/3/21, 4/24/21, 5/17/21, 6/7/21."
* I am not a lawyer. This is not legal advice. I am not condoning any of this behavior or recommending any course of action. Just observing what is recorded in VAERS.
^ It doesn't seem possible to hotlink to VAERS search results.
[1]: https://wonder.cdc.gov/vaers.html