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This is VAERS ID 1090296

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1090296
VAERS Form:2
Age:28.0
Sex:Female
Location:Utah
Vaccinated:2021-02-08
Onset:2021-02-12
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abortion spontaneous

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: Omeprazole, buspar, lexapro
Current Illness: None
Preexisting Conditions: Gerd
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscarriage


Changed on 5/14/2021

VAERS ID: 1090296 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Utah
Vaccinated:2021-02-08
Onset:2021-02-12
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abortion spontaneous

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: Omeprazole, buspar, lexapro
Current Illness: None
Preexisting Conditions: Gerd
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscarriage

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1090296&WAYBACKHISTORY=ON


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