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This is VAERS ID 1042126

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1042126
VAERS Form:2
Age:25.0
Sex:Female
Location:Michigan
Vaccinated:2021-02-10
Onset:2021-02-16
Submitted:0000-00-00
Entered:2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, 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:
Current Illness:
Preexisting Conditions:
Allergies: Azythromycin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Unknowingly pregnant at time of vaccination. Had a miscarriage one week later. Due on October 12.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1042126&WAYBACKHISTORY=ON


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