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This is VAERS ID 1097975

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1097975
VAERS Form:2
Age:31.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-11
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal, Haemorrhage, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: fibroid
Allergies: gluten intolerant, no known medication allergies
Diagnostic Lab Data: blood draws and ultrasounds to assess and confirm the diagnosis
CDC 'Split Type':

Write-up: Patient started having pain prior to her injection on 3/11/21. On 3/12/21, she started bleeding, and on 3/14/21 she miscarried at 13 weeks.


Changed on 5/14/2021

VAERS ID: 1097975 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Colorado
Vaccinated:2021-03-11
Onset:2021-03-12
Submitted:0000-00-00
Entered:2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound antenatal screen abnormal, Haemorrhage, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: fibroid
Allergies: gluten intolerant, no known medication allergies allergies
Diagnostic Lab Data: blood draws and ultrasounds to assess and confirm the diagnosis
CDC 'Split Type':

Write-up: Patient started having pain prior to her injection on 3/11/21. On 3/12/21, she started bleeding, and on 3/14/21 she miscarried at 13 weeks.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1097975&WAYBACKHISTORY=ON


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