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This is VAERS ID 1038516

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1038516
VAERS Form:2
Age:33.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-21
Onset:2021-02-04
Submitted:0000-00-00
Entered:2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin, Exposure during pregnancy, Ultrasound foetal 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: US on 2/4, US on 2/16; serum beta HcG on 2/17
CDC 'Split Type':

Write-up: Patient received the vaccine on 1/21 she presented for her first OB US on 2/4 and pregnancy was found to be nonviable; Patient has D&C scheduled for next week and more information will be available at that time


Changed on 5/14/2021

VAERS ID: 1038516 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-21
Onset:2021-02-04
Submitted:0000-00-00
Entered:2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin, Exposure during pregnancy, Ultrasound foetal 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: US on 2/4, US on 2/16; serum beta HcG on 2/17
CDC 'Split Type':

Write-up: Patient received the vaccine on 1/21 she presented for her first OB US on 2/4 and pregnancy was found to be nonviable; Patient has D&C scheduled for next week and more information will be available at that time

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1038516&WAYBACKHISTORY=ON


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