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This is VAERS ID 1096757

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 1096757
VAERS Form:2
Age:33.0
Sex:Female
Location:Colorado
Vaccinated:2021-02-02
Onset:2021-02-10
Submitted:0000-00-00
Entered:2021-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: morbid obesity with body mass index of 46
Allergies: Cefaclor
Diagnostic Lab Data: See description above. At this writing, the cause of fetal death is unknown. In this situation, we often never know the cause of death.
CDC 'Split Type':

Write-up: Patient received her Covid 19 vaccines on 1/6/21 and 2/3/21. On 3/3/21 at her routine prenatal visit, she was diagnosed with an intrauterine fetal demise. Based on the fetal measurements, the demise happened at 17-18 weeks of gestation, which would be sometime between 2/6/21 and 2/13/21. Medically, I don''t suspect that the demise is related to the vaccine, but for the sake of accurate tracking, I feel compelled to report the sequence of events.


Changed on 5/7/2021

VAERS ID: 1096757 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Colorado
Vaccinated:2021-02-02
Onset:2021-02-10
Submitted:0000-00-00
Entered:2021-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: morbid obesity with body mass index of 46
Allergies: Cefaclor Cefaclor
Diagnostic Lab Data: See description above. At this writing, the cause of fetal death is unknown. In this situation, we often never know the cause of death.
CDC 'Split Type':

Write-up: Patient received her Covid 19 vaccines on 1/6/21 and 2/3/21. On 3/3/21 at her routine prenatal visit, she was diagnosed with an intrauterine fetal demise. Based on the fetal measurements, the demise happened at 17-18 weeks of gestation, which would be sometime between 2/6/21 and 2/13/21. Medically, I don''t suspect that the demise is related to the vaccine, but for the sake of accurate tracking, I feel compelled to report the sequence of events.


Changed on 5/14/2021

VAERS ID: 1096757 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Colorado
Vaccinated:2021-02-02
Onset:2021-02-10
Submitted:0000-00-00
Entered:2021-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: morbid obesity with body mass index of 46
Allergies: Cefaclor Cefaclor
Diagnostic Lab Data: See description above. At this writing, the cause of fetal death is unknown. In this situation, we often never know the cause of death.
CDC 'Split Type':

Write-up: Patient received her Covid 19 vaccines on 1/6/21 and 2/3/21. On 3/3/21 at her routine prenatal visit, she was diagnosed with an intrauterine fetal demise. Based on the fetal measurements, the demise happened at 17-18 weeks of gestation, which would be sometime between 2/6/21 and 2/13/21. Medically, I don''t suspect that the demise is related to the vaccine, but for the sake of accurate tracking, I feel compelled to report the sequence of events.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1096757&WAYBACKHISTORY=ON

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