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This is VAERS ID 1058428

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1058428
VAERS Form:2
Age:33.0
Sex:Female
Location:Connecticut
Vaccinated:2021-01-21
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 013L20A / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Body temperature increased, Chills, Nausea, Pain, Pyrexia, Sleep disorder, Ultrasound antenatal screen abnormal, Human chorionic gonadotropin negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: COVID 19 1st vaccine; unilateral adenopathy (filed report)
Other Medications: Prenatal
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: erythromycin (questionable)
Diagnostic Lab Data: 27th; HCG levels 12 1/28th, 4th 1/29th. 27th jan ultra sound; no fetus.
CDC 'Split Type': VSAFE

Write-up: 1/21 vaccination By that evening, I started having chills by 5pm. Began to have body aches; 7pm. Low Grade fever increased to 102 overnight. I didn''t sleep at all to no avail with Tylenol and Motrin. Nauseous. 1/22 pregnancy test; positive By Friday evening, symptoms started to dissipate. 1/26 Miscarried; 4 weeks 3 days pregnant 1st pregnancy


Changed on 5/7/2021

VAERS ID: 1058428 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Connecticut
Vaccinated:2021-01-21
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 013L20A / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Body temperature increased, Chills, Nausea, Pain, Pyrexia, Sleep disorder, Ultrasound antenatal screen abnormal, Human chorionic gonadotropin negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: COVID 19 1st vaccine; unilateral adenopathy (filed report)
Other Medications: Prenatal
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: erythromycin (questionable) (questionable)
Diagnostic Lab Data: 27th; HCG levels 12 1/28th, 4th 1/29th. 27th jan ultra sound; no fetus.
CDC 'Split Type': VSAFE

Write-up: 1/21 vaccination By that evening, I started having chills by 5pm. Began to have body aches; 7pm. Low Grade fever increased to 102 overnight. I didn''t sleep at all to no avail with Tylenol and Motrin. Nauseous. 1/22 pregnancy test; positive By Friday evening, symptoms started to dissipate. 1/26 Miscarried; 4 weeks 3 days pregnant 1st pregnancy


Changed on 5/14/2021

VAERS ID: 1058428 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Connecticut
Vaccinated:2021-01-21
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 013L20A / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Body temperature increased, Chills, Nausea, Pain, Pyrexia, Sleep disorder, Ultrasound antenatal screen abnormal, Human chorionic gonadotropin negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: COVID 19 1st vaccine; unilateral adenopathy (filed report)
Other Medications: Prenatal
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: erythromycin (questionable) (questionable)
Diagnostic Lab Data: 27th; HCG levels 12 1/28th, 4th 1/29th. 27th jan ultra sound; no fetus.
CDC 'Split Type': VSAFE

Write-up: 1/21 vaccination By that evening, I started having chills by 5pm. Began to have body aches; 7pm. Low Grade fever increased to 102 overnight. I didn''t sleep at all to no avail with Tylenol and Motrin. Nauseous. 1/22 pregnancy test; positive By Friday evening, symptoms started to dissipate. 1/26 Miscarried; 4 weeks 3 days pregnant 1st pregnancy


Changed on 6/4/2021

VAERS ID: 1058428 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Connecticut
Vaccinated:2021-01-21
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 013L20A / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Body temperature increased, Chills, Nausea, Pain, Pyrexia, Sleep disorder, Ultrasound antenatal screen abnormal, Human chorionic gonadotropin negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: COVID 19 1st vaccine; unilateral adenopathy (filed report)
Other Medications: Prenatal
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: erythromycin (questionable)
Diagnostic Lab Data: 27th; HCG levels 12 1/28th, 4th 1/29th. 27th jan ultra sound; no fetus.
CDC 'Split Type': VSAFE vsafe

Write-up: 1/21 vaccination By that evening, I started having chills by 5pm. Began to have body aches; 7pm. Low Grade fever increased to 102 overnight. I didn''t sleep at all to no avail with Tylenol and Motrin. Nauseous. 1/22 pregnancy test; positive By Friday evening, symptoms started to dissipate. 1/26 Miscarried; 4 weeks 3 days pregnant 1st pregnancy

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