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This is VAERS ID 1022165

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 1022165
VAERS Form:2
Age:38.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-21
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027/L20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion induced, Abortion missed

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 VITAMINS, PROGESTERONE PESSARIES, ADDERALL, ASPIRIN
Current Illness: ANXIETY / DEPRESSION
Preexisting Conditions: ADD, ANXIETY, MIGRAINES,EXRECISE INDUCED ASTHMA CERVICAL DISC DEGENERATION.
Allergies: MONOCYCLINE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: PATIENT HAD A MISSED ABORTION, FOUND OUT 6DAYS AFTER VACCINATION. HAD HISTORY OF PREVIOUS MISCARRIAGES. WAS ON PROGESTERONE PESSARIES AND ASPIRIN. FETAL HEART BEAT MISSING ON ROUTINE REVIEW. GESTATION 10WEEKS+4DAYS. REQUIRED MEDICAL TERMINATION OF PREGNANCY.


Changed on 5/7/2021

VAERS ID: 1022165 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-21
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027/L20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion induced, Abortion missed

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 VITAMINS, PROGESTERONE PESSARIES, ADDERALL, ASPIRIN
Current Illness: ANXIETY / DEPRESSION
Preexisting Conditions: ADD, ANXIETY, MIGRAINES,EXRECISE INDUCED ASTHMA CERVICAL DISC DEGENERATION.
Allergies: MONOCYCLINE MONOCYCLINE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: PATIENT HAD A MISSED ABORTION, FOUND OUT 6DAYS AFTER VACCINATION. HAD HISTORY OF PREVIOUS MISCARRIAGES. WAS ON PROGESTERONE PESSARIES AND ASPIRIN. FETAL HEART BEAT MISSING ON ROUTINE REVIEW. GESTATION 10WEEKS+4DAYS. REQUIRED MEDICAL TERMINATION OF PREGNANCY.


Changed on 5/14/2021

VAERS ID: 1022165 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-21
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027/L20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion induced, Abortion missed

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 VITAMINS, PROGESTERONE PESSARIES, ADDERALL, ASPIRIN
Current Illness: ANXIETY / DEPRESSION
Preexisting Conditions: ADD, ANXIETY, MIGRAINES,EXRECISE INDUCED ASTHMA CERVICAL DISC DEGENERATION.
Allergies: MONOCYCLINE MONOCYCLINE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: PATIENT HAD A MISSED ABORTION, FOUND OUT 6DAYS AFTER VACCINATION. HAD HISTORY OF PREVIOUS MISCARRIAGES. WAS ON PROGESTERONE PESSARIES AND ASPIRIN. FETAL HEART BEAT MISSING ON ROUTINE REVIEW. GESTATION 10WEEKS+4DAYS. REQUIRED MEDICAL TERMINATION OF PREGNANCY.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1022165&WAYBACKHISTORY=ON


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