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This is VAERS ID 1060779

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1060779
VAERS Form:2
Age:37.0
Sex:Female
Location:Florida
Vaccinated:2021-01-12
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal, Foetal death, Human chorionic gonadotropin positive, Exposure during 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamins Vyvanse 50mg Citalopram 40mg
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin
Diagnostic Lab Data: Feb. 10, 2021: Ultrasound (showing embryo of approx. 7 weeks with no heartbeat) Feb. 10, 2021: beta hCG levels. (approx. 17,000+) Feb. 12, 2021: Repeat of beta hCG levels. (approx. 7,000+, consistent with miscarriage) Feb. 19, 2021: Ultrasound (confirming loss of gestational sac and contents)
CDC 'Split Type':

Write-up: At 5 weeks, 5 days pregnant I received the 1st Covid-19 dose. I started bleeding the evening of Feb. 7, 2021. The bleeding continued to increase. I visited the Emergency Department on Feb. 10, 2021 and learned my baby had died around 7 weeks into the pregnancy.


Changed on 5/7/2021

VAERS ID: 1060779 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Florida
Vaccinated:2021-01-12
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal, Foetal death, Human chorionic gonadotropin positive, Exposure during 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamins Vyvanse 50mg Citalopram 40mg
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Feb. 10, 2021: Ultrasound (showing embryo of approx. 7 weeks with no heartbeat) Feb. 10, 2021: beta hCG levels. (approx. 17,000+) Feb. 12, 2021: Repeat of beta hCG levels. (approx. 7,000+, consistent with miscarriage) Feb. 19, 2021: Ultrasound (confirming loss of gestational sac and contents)
CDC 'Split Type':

Write-up: At 5 weeks, 5 days pregnant I received the 1st Covid-19 dose. I started bleeding the evening of Feb. 7, 2021. The bleeding continued to increase. I visited the Emergency Department on Feb. 10, 2021 and learned my baby had died around 7 weeks into the pregnancy.


Changed on 5/14/2021

VAERS ID: 1060779 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Florida
Vaccinated:2021-01-12
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal, Foetal death, Human chorionic gonadotropin positive, Exposure during 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamins Vyvanse 50mg Citalopram 40mg
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin Amoxicillin
Diagnostic Lab Data: Feb. 10, 2021: Ultrasound (showing embryo of approx. 7 weeks with no heartbeat) Feb. 10, 2021: beta hCG levels. (approx. 17,000+) Feb. 12, 2021: Repeat of beta hCG levels. (approx. 7,000+, consistent with miscarriage) Feb. 19, 2021: Ultrasound (confirming loss of gestational sac and contents)
CDC 'Split Type':

Write-up: At 5 weeks, 5 days pregnant I received the 1st Covid-19 dose. I started bleeding the evening of Feb. 7, 2021. The bleeding continued to increase. I visited the Emergency Department on Feb. 10, 2021 and learned my baby had died around 7 weeks into the pregnancy.

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