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This is VAERS ID 1047536

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1047536
VAERS Form:2
Age:31.0
Sex:Female
Location:Delaware
Vaccinated:2021-02-02
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Fatigue, Injection site pain, Lethargy, Pyrexia, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol on day 2 after vaccination
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Received vaccine on 02/02, 4 weeks pregnant on 02/03 02/03-02/05: Severe lethargy, tiredness, pain at injection sites, fever all lasting 48 hours. Symptoms subsided after taking tylenol on 02/05. I''m not attributing this to the vaccine, but on 02/12, my hcg started to plateau and decline, no egg yolk or fetal pole was seen at 6 weeks (2/17). Sac was measuring at 5 weeks. I eventually had a miscarriage on 2/21


Changed on 5/7/2021

VAERS ID: 1047536 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Delaware
Vaccinated:2021-02-02
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Fatigue, Injection site pain, Lethargy, Pyrexia, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol on day 2 after vaccination
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Received vaccine on 02/02, 4 weeks pregnant on 02/03 02/03-02/05: Severe lethargy, tiredness, pain at injection sites, fever all lasting 48 hours. Symptoms subsided after taking tylenol on 02/05. I''m not attributing this to the vaccine, but on 02/12, my hcg started to plateau and decline, no egg yolk or fetal pole was seen at 6 weeks (2/17). Sac was measuring at 5 weeks. I eventually had a miscarriage on 2/21


Changed on 5/14/2021

VAERS ID: 1047536 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Delaware
Vaccinated:2021-02-02
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Fatigue, Injection site pain, Lethargy, Pyrexia, Human chorionic gonadotropin decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol on day 2 after vaccination
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Received vaccine on 02/02, 4 weeks pregnant on 02/03 02/03-02/05: Severe lethargy, tiredness, pain at injection sites, fever all lasting 48 hours. Symptoms subsided after taking tylenol on 02/05. I''m not attributing this to the vaccine, but on 02/12, my hcg started to plateau and decline, no egg yolk or fetal pole was seen at 6 weeks (2/17). Sac was measuring at 5 weeks. I eventually had a miscarriage on 2/21

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1047536&WAYBACKHISTORY=ON

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