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This is VAERS ID 967169

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 967169
VAERS Form:2
Age:27.0
Sex:Female
Location:Texas
Vaccinated:2021-01-16
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan, Urine analysis, Blood test, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A
Diagnostic Lab Data: Blood, urine, and ultrasound on 1/21/2021
CDC 'Split Type':

Write-up: Miscarriage? around 7 weeks pregnant at the time of vaccine, estimated delivery date was 8/19/2021


Changed on 5/7/2021

VAERS ID: 967169 Before After
VAERS Form:2
Age:27.0
Sex:Female
Location:Texas
Vaccinated:2021-01-16
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan, Urine analysis, Blood test, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A N/A
Diagnostic Lab Data: Blood, urine, and ultrasound on 1/21/2021
CDC 'Split Type':

Write-up: Miscarriage? around 7 weeks pregnant at the time of vaccine, estimated delivery date was 8/19/2021


Changed on 5/14/2021

VAERS ID: 967169 Before After
VAERS Form:2
Age:27.0
Sex:Female
Location:Texas
Vaccinated:2021-01-16
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan, Urine analysis, Blood test, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: N/A N/A
Diagnostic Lab Data: Blood, urine, and ultrasound on 1/21/2021
CDC 'Split Type':

Write-up: Miscarriage? around 7 weeks pregnant at the time of vaccine, estimated delivery date was 8/19/2021

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=967169&WAYBACKHISTORY=ON


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