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This is VAERS ID 1157569

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1157569
VAERS Form:2
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Pregnancy, Product dose omission issue

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (no adverse event reported)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20210

Write-up: Miscarriage; Pregnancy; well past the 42 day mark; A Spontaneous report was received from a Healthcare Professional concerning a female patient who received Moderna''s COVID-19 vaccine (mRNA-1273) and the patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. The patients medical history was not provided.No concomitant medication information was provided. On an unknown date in JAN 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, The patient The patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. Laboratory details was not provided.No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events Pregnancy and Miscarriage was resolved. The outcome of the event well past 42 days was unknown.; Reporter''s Comments: This is a case of product exposure during pregnancy with spontaneous abortion for this female (age unknown). Patient missed her second dose. She will continue to be contacted for further monitoring of AEs post abortion. .


Changed on 5/7/2021

VAERS ID: 1157569 Before After
VAERS Form:2
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Pregnancy, Product dose omission issue

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (no adverse event reported)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20210

Write-up: Miscarriage; Pregnancy; well past the 42 day mark; A Spontaneous report was received from a Healthcare Professional concerning a female patient who received Moderna''s COVID-19 vaccine (mRNA-1273) and the patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. The patients medical history was not provided.No concomitant medication information was provided. On an unknown date in JAN 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, The patient The patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. Laboratory details was not provided.No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events Pregnancy and Miscarriage was resolved. The outcome of the event well past 42 days was unknown.; Reporter''s Comments: This is a case of product exposure during pregnancy with spontaneous abortion for this female (age unknown). Patient missed her second dose. She will continue to be contacted for further monitoring of AEs post abortion. .


Changed on 5/14/2021

VAERS ID: 1157569 Before After
VAERS Form:2
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Pregnancy, Product dose omission issue

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: No adverse event (no adverse event reported)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20210

Write-up: Miscarriage; Pregnancy; well past the 42 day mark; A Spontaneous report was received from a Healthcare Professional concerning a female patient who received Moderna''s COVID-19 vaccine (mRNA-1273) and the patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. The patients medical history was not provided.No concomitant medication information was provided. On an unknown date in JAN 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, The patient The patient subsequently found out that she was pregnant . Patient had a miscarriage and now wants to receive the second dose of her vaccine. Well past the 42 day mark Patient now wants to receive the second dose of the Moderna Covid-19 vaccine. Laboratory details was not provided.No treatment information was provided. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the events Pregnancy and Miscarriage was resolved. The outcome of the event well past 42 days was unknown.; Reporter''s Comments: This is a case of product exposure during pregnancy with spontaneous abortion for this female (age unknown). Patient missed her second dose. She will continue to be contacted for further monitoring of AEs post abortion. .

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