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This is VAERS ID 1086384

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1086384
VAERS Form:2
Age:36.0
Sex:Female
Location:Texas
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02L20A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Erythema, Pain, Pain of skin, Thrombosis, Mobility decreased, Peripheral swelling, Exposure during pregnancy

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: Supplements: Vitamin D3 k2 Iron Prescriptions: Adderall 20mg Adderall 30mg
Current Illness: None
Preexisting Conditions: NONE
Allergies: Mushroom allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On the following day after receiving my first dose of the vaccination, my arm was throbbing, completely swollen, decreased ROM and skin was RED and severely tender to the touch. Took OTC Tylenol (2) po and had no signs of relief. Pain , swelling, and skin redness lasted for 3 days. On February 10th, 2021 I had a positive pregnancy test (confirmed by bloodwork and urine) which indicated I was 6-7 weeks pregnant and had a miscarriage on March 2021, after giving live births 3 prior times. The cause of the miscarriage is unknown. I also developed a blood clot on the arm that was inserted for an IV. I have no family history or personal history of needing blood thinners.


Changed on 5/14/2021

VAERS ID: 1086384 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Texas
Vaccinated:2021-01-05
Onset:2021-01-05
Submitted:0000-00-00
Entered:2021-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 02L20A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Erythema, Pain, Pain of skin, Thrombosis, Mobility decreased, Peripheral swelling, Exposure during pregnancy

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: Supplements: Vitamin D3 k2 Iron Prescriptions: Adderall 20mg Adderall 30mg
Current Illness: None
Preexisting Conditions: NONE
Allergies: Mushroom allergy allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On the following day after receiving my first dose of the vaccination, my arm was throbbing, completely swollen, decreased ROM and skin was RED and severely tender to the touch. Took OTC Tylenol (2) po and had no signs of relief. Pain , swelling, and skin redness lasted for 3 days. On February 10th, 2021 I had a positive pregnancy test (confirmed by bloodwork and urine) which indicated I was 6-7 weeks pregnant and had a miscarriage on March 2021, after giving live births 3 prior times. The cause of the miscarriage is unknown. I also developed a blood clot on the arm that was inserted for an IV. I have no family history or personal history of needing blood thinners.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1086384&WAYBACKHISTORY=ON


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