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This is VAERS ID 1066049

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1066049
VAERS Form:2
Age:33.0
Sex:Female
Location:North Dakota
Vaccinated:2021-01-06
Onset:2021-02-21
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen

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:
Other Medications: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: Ultra sound confirmed but dates not reported. No medical intervention reportedly needed to complete miscarriage.
CDC 'Split Type':

Write-up: Reported by patient to have been 9.5weeks pregnant when miscarriage happened.


Changed on 5/7/2021

VAERS ID: 1066049 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:North Dakota
Vaccinated:2021-01-06
Onset:2021-02-21
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen

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:
Other Medications: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: Ultra sound confirmed but dates not reported. No medical intervention reportedly needed to complete miscarriage.
CDC 'Split Type':

Write-up: Reported by patient to have been 9.5weeks pregnant when miscarriage happened.


Changed on 5/14/2021

VAERS ID: 1066049 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:North Dakota
Vaccinated:2021-01-06
Onset:2021-02-21
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen

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:
Other Medications: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: Ultra sound confirmed but dates not reported. No medical intervention reportedly needed to complete miscarriage.
CDC 'Split Type':

Write-up: Reported by patient to have been 9.5weeks pregnant when miscarriage happened.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1066049&WAYBACKHISTORY=ON


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