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This is VAERS ID 981111

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 981111
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 029L20A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Erythema, Feeling hot, Injection site mass, Injection site pruritus, Lymphadenopathy, Pregnancy, Pruritus, Skin hyperpigmentation, Tenderness, Peripheral swelling, Ultrasound abdomen, Injection site swelling, Induration

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: Aderall xr wellbutrin
Current Illness: none
Preexisting Conditions: none
Allergies: nka
Diagnostic Lab Data: Abd ultra sound 1/23/21
CDC 'Split Type':

Write-up: My second dose was on 1/25/21 . One day after my 3/4 of my upper arm into my axillary area became red, swollen, warm to touch, tender to touch, firm and itchy. My axillary lymph nodes were also swollen and tender to touch. My first vaccine was on 12/23/20. Several days after a small area around the injection site became swollen and itchy. I also had a small palpable lump under my skin at the injection and my skin had a small area of hyper pigmentation for ~2 weeks. Again the area was much smaller and I did not think it would be considered an "Adverse" effect. I was also unaware that I was several weeks pregnant at the time of my first vaccine. when I went to the doctors office on 1/23/21 I was told I was 7.5 weeks pregnant, there was no heartbeat and I had miscarried.


Changed on 5/7/2021

VAERS ID: 981111 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 029L20A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Erythema, Feeling hot, Injection site mass, Injection site pruritus, Lymphadenopathy, Pregnancy, Pruritus, Skin hyperpigmentation, Tenderness, Peripheral swelling, Ultrasound abdomen, Injection site swelling, Induration

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: Aderall xr wellbutrin
Current Illness: none
Preexisting Conditions: none
Allergies: nka nka
Diagnostic Lab Data: Abd ultra sound 1/23/21
CDC 'Split Type':

Write-up: My second dose was on 1/25/21 . One day after my 3/4 of my upper arm into my axillary area became red, swollen, warm to touch, tender to touch, firm and itchy. My axillary lymph nodes were also swollen and tender to touch. My first vaccine was on 12/23/20. Several days after a small area around the injection site became swollen and itchy. I also had a small palpable lump under my skin at the injection and my skin had a small area of hyper pigmentation for ~2 weeks. Again the area was much smaller and I did not think it would be considered an "Adverse" effect. I was also unaware that I was several weeks pregnant at the time of my first vaccine. when I went to the doctors office on 1/23/21 I was told I was 7.5 weeks pregnant, there was no heartbeat and I had miscarried.


Changed on 5/14/2021

VAERS ID: 981111 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 029L20A / UNK RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Erythema, Feeling hot, Injection site mass, Injection site pruritus, Lymphadenopathy, Pregnancy, Pruritus, Skin hyperpigmentation, Tenderness, Peripheral swelling, Ultrasound abdomen, Injection site swelling, Induration

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: Aderall xr wellbutrin
Current Illness: none
Preexisting Conditions: none
Allergies: nka nka
Diagnostic Lab Data: Abd ultra sound 1/23/21
CDC 'Split Type':

Write-up: My second dose was on 1/25/21 . One day after my 3/4 of my upper arm into my axillary area became red, swollen, warm to touch, tender to touch, firm and itchy. My axillary lymph nodes were also swollen and tender to touch. My first vaccine was on 12/23/20. Several days after a small area around the injection site became swollen and itchy. I also had a small palpable lump under my skin at the injection and my skin had a small area of hyper pigmentation for ~2 weeks. Again the area was much smaller and I did not think it would be considered an "Adverse" effect. I was also unaware that I was several weeks pregnant at the time of my first vaccine. when I went to the doctors office on 1/23/21 I was told I was 7.5 weeks pregnant, there was no heartbeat and I had miscarried.

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