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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||011M20A / 2||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan abnormal
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Pre natal Vitamins
Current Illness: None
Preexisting Conditions: Migraines
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
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