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This is VAERS ID 1264894

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1264894
VAERS Form:2
Age:30.0
Sex:Female
Location:Maine
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      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: Levothyroxine
Current Illness: Runny nose- cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Early Miscarriage after vaccine. About 5 weeks pregnant when miscarriage happened.


Changed on 5/7/2021

VAERS ID: 1264894 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Maine
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      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: Levothyroxine
Current Illness: Runny nose- cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Early Miscarriage after vaccine. About 5 weeks pregnant when miscarriage happened.


Changed on 5/14/2021

VAERS ID: 1264894 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Maine
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Private      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: Levothyroxine
Current Illness: Runny nose- cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Early Miscarriage after vaccine. About 5 weeks pregnant when miscarriage happened.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1264894&WAYBACKHISTORY=ON


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