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This is VAERS ID 958501

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 958501
VAERS Form:2
Age:32.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Abortion spontaneous, Pregnancy, Vaginal haemorrhage, Exposure during pregnancy

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: 8 weeks 5 days, estimated due date august 22, 2021, prenatel mvi qd
Current Illness: none
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: OBGYN examined client not sure what tests were performed. PHN collected all information from client on 1/21/21.
CDC 'Split Type':

Write-up: Client was pregnant at time of vaccination. She had consulted with 2 OBGYNS that are following her concerning if she should receive the covid vaccine. They both stated yes. She received her 1st covid vaccination to her left deltiod between 12pm - 1300 on 1/14/21. She did not experience any complications or feel any side effects immediately after vaccination. She was monitored by nursing staff for over 30 min to be prudent. On 1/16/21 the Sat following vaccination she began experiencing cramping in her stomach and began to bleed vaginally. She consulted w her OBGYN and was monitored. She miscarried on 1/19/21.


Changed on 5/7/2021

VAERS ID: 958501 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Abortion spontaneous, Pregnancy, Vaginal haemorrhage, Exposure during pregnancy

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: 8 weeks 5 days, estimated due date august 22, 2021, prenatel mvi qd
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: OBGYN examined client not sure what tests were performed. PHN collected all information from client on 1/21/21.
CDC 'Split Type':

Write-up: Client was pregnant at time of vaccination. She had consulted with 2 OBGYNS that are following her concerning if she should receive the covid vaccine. They both stated yes. She received her 1st covid vaccination to her left deltiod between 12pm - 1300 on 1/14/21. She did not experience any complications or feel any side effects immediately after vaccination. She was monitored by nursing staff for over 30 min to be prudent. On 1/16/21 the Sat following vaccination she began experiencing cramping in her stomach and began to bleed vaginally. She consulted w her OBGYN and was monitored. She miscarried on 1/19/21.


Changed on 5/14/2021

VAERS ID: 958501 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Virginia
Vaccinated:2021-01-14
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Abdominal pain upper, Abortion spontaneous, Pregnancy, Vaginal haemorrhage, Exposure during pregnancy

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: 8 weeks 5 days, estimated due date august 22, 2021, prenatel mvi qd
Current Illness: none
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: OBGYN examined client not sure what tests were performed. PHN collected all information from client on 1/21/21.
CDC 'Split Type':

Write-up: Client was pregnant at time of vaccination. She had consulted with 2 OBGYNS that are following her concerning if she should receive the covid vaccine. They both stated yes. She received her 1st covid vaccination to her left deltiod between 12pm - 1300 on 1/14/21. She did not experience any complications or feel any side effects immediately after vaccination. She was monitored by nursing staff for over 30 min to be prudent. On 1/16/21 the Sat following vaccination she began experiencing cramping in her stomach and began to bleed vaginally. She consulted w her OBGYN and was monitored. She miscarried on 1/19/21.

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