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This is VAERS ID 1020758

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1020758
VAERS Form:2
Age:34.0
Sex:Female
Location:Minnesota
Vaccinated:2021-01-20
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 2 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen, Exposure during pregnancy

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins . Vitamin D.
Current Illness: None
Preexisting Conditions: None
Allergies: No
Diagnostic Lab Data: Positive pregnancy test on 1/13/2021 Fetus seen on US with heartbeat on 1/22/21 No heartbeat and no growth on US 2/8/21
CDC 'Split Type':

Write-up: I was 5 weeks 5 days pregnant with a EDD of 9/17/2021 at the time of my 2?d covid19 vaccine on 1/20/21. On 2/8/21 I found out that my fetus stopped growing at 6w1d, documented on US without heartbeat in the ER. I had a spontaneous miscarriage on 2/9/21.

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