National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1449610

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/30/2021

VAERS ID: 1449610
VAERS Form:2
Age:39.0
Sex:Female
Location:Foreign
Vaccinated:2021-05-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous, Dyspnoea, Rash, Ultrasound scan vagina, Maternal exposure during pregnancy

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: FOLIC ACID
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Miscarriage; Pregnancy (Patient no longer pregnant at the time of reporting.)
Allergies:
Diagnostic Lab Data: Test Date: 20210618; Test Name: Transvaginal US; Test Result: Inconclusive ; Result Unstructured Data: Gestational age: 5 weeks 5 days, gestational sac present ,sac size4x4x3mm Yolk sac absent, amniotic sac absent, embryo absent: subsequent miscarriage
CDC 'Split Type': GBMODERNATX, INC.MOD20212

Write-up: miscarriage; i''m certainly not putting fault on the vaccine; Maternal exposure during pregnancy; rash on my arm at site of injection; This regulatory authority case was reported by a consumer and describes the occurrence of ABORTION SPONTANEOUS (miscarriage) in a 39-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Miscarriage and Pregnancy (Patient no longer pregnant at the time of reporting.). Concomitant products included FOLIC ACID for an unknown indication. On 29-May-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ABORTION SPONTANEOUS (miscarriage) (seriousness criterion medically significant), DYSPNOEA (i''m certainly not putting fault on the vaccine), MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) and RASH (rash on my arm at site of injection). At the time of the report, ABORTION SPONTANEOUS (miscarriage), DYSPNOEA (i''m certainly not putting fault on the vaccine) and RASH (rash on my arm at site of injection) had resolved and MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jun-2021, Ultrasound scan vagina: unknown (Inconclusive) Gestational age: 5 weeks 5 days, gestational sac present ,sac size4x4x3mm Yolk sac absent, amniotic sac absent, embryo absent: subsequent miscarriage. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. treatment information was not reported Patient was exposed to the medicine first-trimester (1-12 weeks). Company Comment : This is a case of product exposure during pregnancy with associated AEs Abortion spontaneous, Dyspnea and Rash for this 39-year-old female. No further information is expected.; Sender''s Comments: This is a case of product exposure during pregnancy with associated AEs Abortion spontaneous, Dyspnea and Rash for this 39-year-old female. No further information is expected.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1449610&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166