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This is VAERS ID 981097

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 981097
VAERS Form:2
Age:41.0
Sex:Female
Location:New York
Vaccinated:2021-01-25
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pregnancy, Skin hyperpigmentation, Ultrasound abdomen, Injection site swelling

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: wellbutrin Adderall xr
Current Illness:
Preexisting Conditions: none
Allergies: NKA
Diagnostic Lab Data: Abd Ultrasound 1/23/21
CDC 'Split Type':

Write-up: A large area around my injection site was red, swollen, warm to touch, firm and itchy covering 3/4 of my upper arm into my underarm and lymph nodes. I received my first vaccine on 12/23/20 several days after injection the site became very itchy, red and swollen but in a much smaller area and persisted for several days leaving a small area of skin hyper pigmented for ~2 weeks. However I did not think it was considered an "Adverse" event and would have not reported it if the second dose was to a similar scale. Also, when I received first vaccine I did not know I was pregnant at the time. When I went to the doctor on 1/23/21 I was told I was 7.5 weeks pregnant, but there was no heart beat and I had miscarried. Being that I am over the age of 40 and a high risk for pregnancy and miscarriage I am unsure if my miscarriage is directly related to the vaccine but I felt it should add it to the report. My first vaccine was administered on 12/23/20 @ 5:30pm at Hospital


Changed on 5/7/2021

VAERS ID: 981097 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:New York
Vaccinated:2021-01-25
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pregnancy, Skin hyperpigmentation, Ultrasound abdomen, Injection site swelling

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: wellbutrin Adderall xr
Current Illness:
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: Abd Ultrasound 1/23/21
CDC 'Split Type':

Write-up: A large area around my injection site was red, swollen, warm to touch, firm and itchy covering 3/4 of my upper arm into my underarm and lymph nodes. I received my first vaccine on 12/23/20 several days after injection the site became very itchy, red and swollen but in a much smaller area and persisted for several days leaving a small area of skin hyper pigmented for ~2 weeks. However I did not think it was considered an "Adverse" event and would have not reported it if the second dose was to a similar scale. Also, when I received first vaccine I did not know I was pregnant at the time. When I went to the doctor on 1/23/21 I was told I was 7.5 weeks pregnant, but there was no heart beat and I had miscarried. Being that I am over the age of 40 and a high risk for pregnancy and miscarriage I am unsure if my miscarriage is directly related to the vaccine but I felt it should add it to the report. My first vaccine was administered on 12/23/20 @ 5:30pm at Hospital


Changed on 5/14/2021

VAERS ID: 981097 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:New York
Vaccinated:2021-01-25
Onset:2021-01-27
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth, Pregnancy, Skin hyperpigmentation, Ultrasound abdomen, Injection site swelling

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: wellbutrin Adderall xr
Current Illness:
Preexisting Conditions: none
Allergies: NKA NKA
Diagnostic Lab Data: Abd Ultrasound 1/23/21
CDC 'Split Type':

Write-up: A large area around my injection site was red, swollen, warm to touch, firm and itchy covering 3/4 of my upper arm into my underarm and lymph nodes. I received my first vaccine on 12/23/20 several days after injection the site became very itchy, red and swollen but in a much smaller area and persisted for several days leaving a small area of skin hyper pigmented for ~2 weeks. However I did not think it was considered an "Adverse" event and would have not reported it if the second dose was to a similar scale. Also, when I received first vaccine I did not know I was pregnant at the time. When I went to the doctor on 1/23/21 I was told I was 7.5 weeks pregnant, but there was no heart beat and I had miscarried. Being that I am over the age of 40 and a high risk for pregnancy and miscarriage I am unsure if my miscarriage is directly related to the vaccine but I felt it should add it to the report. My first vaccine was administered on 12/23/20 @ 5:30pm at Hospital

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