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This is VAERS ID 936919

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 936919
VAERS Form:2
Age:32.0
Sex:Female
Location:South Dakota
Vaccinated:2021-01-07
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Vaginal haemorrhage, Progesterone, Human chorionic gonadotropin

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: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: 1/11/21 Blood HCG: positive 1/11/21 Blood progesterone: 0.7
CDC 'Split Type':

Write-up: G3 P1 mother, estimated gestational age of baby = 4 weeks. On day 4 post-vaccine (1/11/21) started with heavy bleeding and labs confirmed miscarriage.


Changed on 5/7/2021

VAERS ID: 936919 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:South Dakota
Vaccinated:2021-01-07
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Vaginal haemorrhage, Progesterone, Human chorionic gonadotropin

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: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: 1/11/21 Blood HCG: positive 1/11/21 Blood progesterone: 0.7
CDC 'Split Type':

Write-up: G3 P1 mother, estimated gestational age of baby = 4 weeks. On day 4 post-vaccine (1/11/21) started with heavy bleeding and labs confirmed miscarriage.


Changed on 5/14/2021

VAERS ID: 936919 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:South Dakota
Vaccinated:2021-01-07
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Vaginal haemorrhage, Progesterone, Human chorionic gonadotropin

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: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Sulfa
Diagnostic Lab Data: 1/11/21 Blood HCG: positive 1/11/21 Blood progesterone: 0.7
CDC 'Split Type':

Write-up: G3 P1 mother, estimated gestational age of baby = 4 weeks. On day 4 post-vaccine (1/11/21) started with heavy bleeding and labs confirmed miscarriage.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=936919&WAYBACKHISTORY=ON


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