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This is VAERS ID 1454526

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454526
VAERS Form:2
Age:39.0
Sex:Female
Location:Washington
Vaccinated:2021-06-14
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 RA / SC

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound pelvis, Human chorionic gonadotropin, Exposure during pregnancy

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin Probiotic Vitamin B
Current Illness: None
Preexisting Conditions: Eczema
Allergies: Hydrocodone-Tylenol
Diagnostic Lab Data: pelvic ultrasound and bHCG to confirm diagnosis
CDC 'Split Type':

Write-up: Patient was newly pregnant when she received her first Covid vaccine. Was later diagnosed with a missed miscarriage

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