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This is VAERS ID 1026866

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1026866
VAERS Form:2
Age:28.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-01
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-12
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
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: 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

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