National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1026866



Case Details

VAERS ID: 1026866 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-01-01
Onset:2021-01-21
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011M20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre natal Vitamins
Current Illness: None
Preexisting Conditions: Migraines
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Miscarriage- received 1st dose of vaccine when approximately 4 weeks pregnant on 1/6/21. 1st ultrasound at 7 weeks on 1/26/21. Intrauterine pregnancy with yolk sack but no fetal pole seen. 2nd dose of vaccine at approximately 9 weeks pregnant on 2/3/21. Diagnosis of miscarriage on ultrasound on 2/8/21. Due date should have been 9/13/21


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1026866


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