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This is VAERS ID 1038096

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1038096
VAERS Form:2
Age:31.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-26
Onset:2021-02-09
Submitted:0000-00-00
Entered:2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abortion spontaneous, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin malarone daily for malaria prophylaxies
Current Illness: none
Preexisting Conditions: history of PCOS
Allergies: none
Diagnostic Lab Data: No testing performed.
CDC 'Split Type':

Write-up: Pt is G1P0. At the time she received the vaccine on 1/26/21 she was 13 weeks pregnant. She had normal 1st trimester ultrasound and normal prenatal labs. Her EDD is August 5, 2021. On 2/9/21 she had a spontaneous miscarriage. No subsequent complications. No history of drug or alcohol abuse. No s/sx of other causes of a early 2nd trimester miscarriage. Of note the 1st trimester genetic testing was unable to be performed due to low fetal free cell DNA when she was at 10w. We were in the process of repeating the labs when the miscarriage happened. No history of COVID infection, no s/sx of COVID infection at the time of the miscarriage or subsequently. She was not tested.


Changed on 5/14/2021

VAERS ID: 1038096 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-26
Onset:2021-02-09
Submitted:0000-00-00
Entered:2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abortion spontaneous, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin malarone daily for malaria prophylaxies
Current Illness: none
Preexisting Conditions: history of PCOS
Allergies: none none
Diagnostic Lab Data: No testing performed.
CDC 'Split Type':

Write-up: Pt is G1P0. At the time she received the vaccine on 1/26/21 she was 13 weeks pregnant. She had normal 1st trimester ultrasound and normal prenatal labs. Her EDD is August 5, 2021. On 2/9/21 she had a spontaneous miscarriage. No subsequent complications. No history of drug or alcohol abuse. No s/sx of other causes of a early 2nd trimester miscarriage. Of note the 1st trimester genetic testing was unable to be performed due to low fetal free cell DNA when she was at 10w. We were in the process of repeating the labs when the miscarriage happened. No history of COVID infection, no s/sx of COVID infection at the time of the miscarriage or subsequently. She was not tested.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1038096&WAYBACKHISTORY=ON


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