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This is VAERS ID 962952

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 962952
VAERS Form:2
Age:29.0
Sex:Female
Location:Oregon
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0255202A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin, 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: Herbal remedy from acupuncturist
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to doxycycline
Diagnostic Lab Data: HCG test 1/11 and 1/13
CDC 'Split Type':

Write-up: Miscarriage


Changed on 5/7/2021

VAERS ID: 962952 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Oregon
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0255202A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin, 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: Herbal remedy from acupuncturist
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to doxycycline doxycycline
Diagnostic Lab Data: HCG test 1/11 and 1/13
CDC 'Split Type':

Write-up: Miscarriage


Changed on 5/14/2021

VAERS ID: 962952 Before After
VAERS Form:2
Age:29.0
Sex:Female
Location:Oregon
Vaccinated:2021-01-10
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0255202A / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous, Human chorionic gonadotropin, 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: Herbal remedy from acupuncturist
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to doxycycline doxycycline
Diagnostic Lab Data: HCG test 1/11 and 1/13
CDC 'Split Type':

Write-up: Miscarriage

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=962952&WAYBACKHISTORY=ON


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