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This is VAERS ID 1063163

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1063163
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-19
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound antenatal screen abnormal, Foetal heart rate abnormal, Foetal death, Exposure during pregnancy, Ultrasound foetal abnormal

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRENATAL, VITAMIN D, B COMPLEX
Current Illness:
Preexisting Conditions: ANXIETY, MIGRAINES, IBS
Allergies:
Diagnostic Lab Data: Ultrasound - Feb 3
CDC 'Split Type':

Write-up: Saw OB on Jan 4 and there was a strong heartbeat and no defects or problems noted in any bloodwork up to that point in the pregnancy. Received my second vaccine on Jan 19. On Feb 3 I went to my next ultrasound appointment and was told that the baby had no heartbeat. It was estimated that the baby had likely passed a couple weeks prior but I am not certain of the timeline in regards to receiving the second vaccine.


Changed on 5/7/2021

VAERS ID: 1063163 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-19
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound antenatal screen abnormal, Foetal heart rate abnormal, Foetal death, Exposure during pregnancy, Ultrasound foetal abnormal

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRENATAL, VITAMIN D, B COMPLEX
Current Illness:
Preexisting Conditions: ANXIETY, MIGRAINES, IBS
Allergies:
Diagnostic Lab Data: Ultrasound - Feb 3
CDC 'Split Type':

Write-up: Saw OB on Jan 4 and there was a strong heartbeat and no defects or problems noted in any bloodwork up to that point in the pregnancy. Received my second vaccine on Jan 19. On Feb 3 I went to my next ultrasound appointment and was told that the baby had no heartbeat. It was estimated that the baby had likely passed a couple weeks prior but I am not certain of the timeline in regards to receiving the second vaccine.


Changed on 5/14/2021

VAERS ID: 1063163 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Ohio
Vaccinated:2021-01-19
Onset:2021-02-03
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 028L20A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ultrasound antenatal screen abnormal, Foetal heart rate abnormal, Foetal death, Exposure during pregnancy, Ultrasound foetal abnormal

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: PRENATAL, VITAMIN D, B COMPLEX
Current Illness:
Preexisting Conditions: ANXIETY, MIGRAINES, IBS
Allergies:
Diagnostic Lab Data: Ultrasound - Feb 3
CDC 'Split Type':

Write-up: Saw OB on Jan 4 and there was a strong heartbeat and no defects or problems noted in any bloodwork up to that point in the pregnancy. Received my second vaccine on Jan 19. On Feb 3 I went to my next ultrasound appointment and was told that the baby had no heartbeat. It was estimated that the baby had likely passed a couple weeks prior but I am not certain of the timeline in regards to receiving the second vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1063163&WAYBACKHISTORY=ON


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