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This is VAERS ID 1097833

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1097833
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-02-04
Onset:2021-02-26
Submitted:0000-00-00
Entered:2021-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038K20A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin

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? No
Previous Vaccinations:
Other Medications: Metformin Prenatal Vitamins
Current Illness:
Preexisting Conditions:
Allergies: Codeine - migraine
Diagnostic Lab Data: Hcg blood draw on 2/26/2021
CDC 'Split Type':

Write-up: I had an IUI performed my my OB on 2/1/2021 and received the 2nd dose of the COVID vaccine on 2/4/2021. I found out I was pregnant on 2/15/2021 and found out I was miscarrying on 2/26/2021.


Changed on 5/14/2021

VAERS ID: 1097833 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Illinois
Vaccinated:2021-02-04
Onset:2021-02-26
Submitted:0000-00-00
Entered:2021-03-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038K20A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin

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? No
Previous Vaccinations:
Other Medications: Metformin Prenatal Vitamins
Current Illness:
Preexisting Conditions:
Allergies: Codeine - migraine migraine
Diagnostic Lab Data: Hcg blood draw on 2/26/2021
CDC 'Split Type':

Write-up: I had an IUI performed my my OB on 2/1/2021 and received the 2nd dose of the COVID vaccine on 2/4/2021. I found out I was pregnant on 2/15/2021 and found out I was miscarrying on 2/26/2021.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1097833&WAYBACKHISTORY=ON


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