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This is VAERS ID 1019778

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1019778
VAERS Form:2
Age:28.0
Sex:Female
Location:Missouri
Vaccinated:2021-02-01
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: childhood asthma
Allergies: none
Diagnostic Lab Data: Ultrasound 2/8/21
CDC 'Split Type':

Write-up: Miscarriage 1 week post getting dose 1 of vaccine. Estimated due date was 08/18/2021. Previous pregnancy history is 3 pregnancies, with 3 full term live births, no complications.


Changed on 5/7/2021

VAERS ID: 1019778 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Missouri
Vaccinated:2021-02-01
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: childhood asthma
Allergies: none none
Diagnostic Lab Data: Ultrasound 2/8/21
CDC 'Split Type':

Write-up: Miscarriage 1 week post getting dose 1 of vaccine. Estimated due date was 08/18/2021. Previous pregnancy history is 3 pregnancies, with 3 full term live births, no complications.


Changed on 5/14/2021

VAERS ID: 1019778 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Missouri
Vaccinated:2021-02-01
Onset:2021-02-08
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: childhood asthma
Allergies: none none
Diagnostic Lab Data: Ultrasound 2/8/21
CDC 'Split Type':

Write-up: Miscarriage 1 week post getting dose 1 of vaccine. Estimated due date was 08/18/2021. Previous pregnancy history is 3 pregnancies, with 3 full term live births, no complications.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1019778&WAYBACKHISTORY=ON


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