National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1006634

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1006634
VAERS Form:2
Age:34.0
Sex:Female
Location:California
Vaccinated:2021-01-06
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemorrhage in pregnancy, Ultrasound antenatal screen abnormal, Uterine dilation and curettage, Abortion spontaneous incomplete, Gene mutation identification test, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: asthma, migraine
Allergies: Ceclor, doxycycline, PCN, sulfa
Diagnostic Lab Data: 1/19/21 - ultrasound confirming embryonic demise 1/20/21 - D&C for incomplete abortion
CDC 'Split Type':

Write-up: Spontaneous abortion. Pt was 9w1d at time of first Moderna COVID vaccine (EDD 8/9/2021). Two weeks later she began bleeding and was found to have an incomplete abortion with embryo measuring 9w1d. Proceeded to bleed heavily and D&C performed. Uncomplicated recovery. Genetic studies in process. Unknown if SAB is related to vaccine, though it appears embryonic demise occurred within a few days of vaccine administration.


Changed on 5/7/2021

VAERS ID: 1006634 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:California
Vaccinated:2021-01-06
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemorrhage in pregnancy, Ultrasound antenatal screen abnormal, Uterine dilation and curettage, Abortion spontaneous incomplete, Gene mutation identification test, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: asthma, migraine
Allergies: Ceclor, doxycycline, PCN, sulfa sulfa
Diagnostic Lab Data: 1/19/21 - ultrasound confirming embryonic demise 1/20/21 - D&C for incomplete abortion
CDC 'Split Type':

Write-up: Spontaneous abortion. Pt was 9w1d at time of first Moderna COVID vaccine (EDD 8/9/2021). Two weeks later she began bleeding and was found to have an incomplete abortion with embryo measuring 9w1d. Proceeded to bleed heavily and D&C performed. Uncomplicated recovery. Genetic studies in process. Unknown if SAB is related to vaccine, though it appears embryonic demise occurred within a few days of vaccine administration.


Changed on 5/14/2021

VAERS ID: 1006634 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:California
Vaccinated:2021-01-06
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Haemorrhage in pregnancy, Ultrasound antenatal screen abnormal, Uterine dilation and curettage, Abortion spontaneous incomplete, Gene mutation identification test, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: asthma, migraine
Allergies: Ceclor, doxycycline, PCN, sulfa sulfa
Diagnostic Lab Data: 1/19/21 - ultrasound confirming embryonic demise 1/20/21 - D&C for incomplete abortion
CDC 'Split Type':

Write-up: Spontaneous abortion. Pt was 9w1d at time of first Moderna COVID vaccine (EDD 8/9/2021). Two weeks later she began bleeding and was found to have an incomplete abortion with embryo measuring 9w1d. Proceeded to bleed heavily and D&C performed. Uncomplicated recovery. Genetic studies in process. Unknown if SAB is related to vaccine, though it appears embryonic demise occurred within a few days of vaccine administration.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1006634&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166