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This is VAERS ID 1087386

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1087386
VAERS Form:2
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-29
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 2 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Abortion spontaneous, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre natal
Current Illness: None noted
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient received the Moderna COVID Vaccine on 29 January, at which time she was 7 weeks pregnant. No other comorbities noted. On 01 February she had a miscarriage. She also received the first dose while pregnant, first dose was given on 30 December 2020 and she was 3 weeks pregnant


Changed on 5/14/2021

VAERS ID: 1087386 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-29
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 2 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Abortion spontaneous, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre natal
Current Illness: None noted
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient received the Moderna COVID Vaccine on 29 January, at which time she was 7 weeks pregnant. No other comorbities noted. On 01 February she had a miscarriage. She also received the first dose while pregnant, first dose was given on 30 December 2020 and she was 3 weeks pregnant

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1087386&WAYBACKHISTORY=ON


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