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This is VAERS ID 988939

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 988939
VAERS Form:2
Age:33.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-28
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site pain, Pyrexia

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: Montelukast, 10mg
Current Illness: N/A
Preexisting Conditions: Obesity Asthma
Allergies: Tree nut
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy confirmed 1/28/2021, 5 weeks 5 days. Pregnancy lost 1/31/2021. Symptoms after Moderna vaccine were low fever and pain at injection site.


Changed on 5/7/2021

VAERS ID: 988939 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-28
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site pain, Pyrexia

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: Montelukast, 10mg
Current Illness: N/A
Preexisting Conditions: Obesity Asthma
Allergies: Tree nut nut
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy confirmed 1/28/2021, 5 weeks 5 days. Pregnancy lost 1/31/2021. Symptoms after Moderna vaccine were low fever and pain at injection site.


Changed on 5/14/2021

VAERS ID: 988939 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-01-28
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Injection site pain, Pyrexia

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: Montelukast, 10mg
Current Illness: N/A
Preexisting Conditions: Obesity Asthma
Allergies: Tree nut nut
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pregnancy confirmed 1/28/2021, 5 weeks 5 days. Pregnancy lost 1/31/2021. Symptoms after Moderna vaccine were low fever and pain at injection site.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=988939&WAYBACKHISTORY=ON


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