National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1058924

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1058924
VAERS Form:2
Age:39.0
Sex:Female
Location:Maryland
Vaccinated:2021-01-15
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abortion spontaneous, Blood test

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: Prenatal Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: blood work. normal
CDC 'Split Type': vsafe

Write-up: Two weeks after the vaccine I had a miscarriage.


Changed on 5/7/2021

VAERS ID: 1058924 Before After
VAERS Form:2
Age:39.0
Sex:Female
Location:Maryland
Vaccinated:2021-01-15
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abortion spontaneous, Blood test

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: Prenatal Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: No No
Diagnostic Lab Data: blood work. normal
CDC 'Split Type': vsafe

Write-up: Two weeks after the vaccine I had a miscarriage.


Changed on 5/14/2021

VAERS ID: 1058924 Before After
VAERS Form:2
Age:39.0
Sex:Female
Location:Maryland
Vaccinated:2021-01-15
Onset:2021-01-30
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Abortion spontaneous, Blood test

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: Prenatal Vitamin
Current Illness: No
Preexisting Conditions: No
Allergies: No No
Diagnostic Lab Data: blood work. normal
CDC 'Split Type': vsafe

Write-up: Two weeks after the vaccine I had a miscarriage.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1058924&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166