National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1053973

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1053973
VAERS Form:2
Age:36.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-16
Onset:2021-02-15
Submitted:0000-00-00
Entered:2021-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Uterine dilation and curettage, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: OBGYN D&C removal at same day surgery center
CDC 'Split Type':

Write-up: Wife did not know she was pregnant at the time, had the vaccine and miscarried the child at 12 weeks. OBGYN stated baby had miscarried 2-3 weeks earlier. D&C procedure performed 2/23 to remove remains of fetus.


Changed on 5/7/2021

VAERS ID: 1053973 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-16
Onset:2021-02-15
Submitted:0000-00-00
Entered:2021-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Uterine dilation and curettage, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: OBGYN D&C removal at same day surgery center
CDC 'Split Type':

Write-up: Wife did not know she was pregnant at the time, had the vaccine and miscarried the child at 12 weeks. OBGYN stated baby had miscarried 2-3 weeks earlier. D&C procedure performed 2/23 to remove remains of fetus.


Changed on 5/14/2021

VAERS ID: 1053973 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:New Jersey
Vaccinated:2020-12-16
Onset:2021-02-15
Submitted:0000-00-00
Entered:2021-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Uterine dilation and curettage, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none none
Diagnostic Lab Data: OBGYN D&C removal at same day surgery center
CDC 'Split Type':

Write-up: Wife did not know she was pregnant at the time, had the vaccine and miscarried the child at 12 weeks. OBGYN stated baby had miscarried 2-3 weeks earlier. D&C procedure performed 2/23 to remove remains of fetus.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1053973&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166