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This is VAERS ID 941086

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 941086
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2020-12-31
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, 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: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscarriage


Changed on 5/7/2021

VAERS ID: 941086 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2020-12-31
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, 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: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscarriage


Changed on 5/14/2021

VAERS ID: 941086 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:California
Vaccinated:2020-12-31
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, 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: prenatal vitamins
Current Illness: none
Preexisting Conditions: none
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Miscarriage

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=941086&WAYBACKHISTORY=ON


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