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This is VAERS ID 1459521

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/6/2021

VAERS ID: 1459521
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEMODERNATX, INC.MOD20212

Write-up: On an unknown date, the patient received first dose of mRNA-1273 (COVID 19 Vaccine Moderna) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On an unknown date, the patient experienced ABORTION SPONTANEOUS (Pregnancy stopped prematurely) (seriousness criterion medically significant). At the time of the report, ABORTION SPONTANEOUS (Pregnancy stopped prematurely) had not resolved. The action taken with mRNA-1273 (COVID 19 Vaccine Moderna) (Unknown) was unknown. Concomitant medications were not reported. Treatment information in response to events was not provided. This is a case of Abortion spontaneous in a female patient of unknown age and unknown medical history. Dates of vaccine administration and event were not reported, therefore it is unclear if event occured following vaccine exposure during pregnancy. No further information is expected.; Sender''s Comments: This is a case of Abortion spontaneous in a female patient of unknown age and unknown medical history. Dates of vaccine administration and event were not reported, therefore it is unclear if event occured following vaccine exposure during pregnancy. No further information is expected.

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