National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1069793

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1069793
VAERS Form:2
Age:27.0
Sex:Female
Location:New York
Vaccinated:2021-01-08
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Headache, Ultrasound pelvis, Haemorrhage, Uterine dilation and curettage, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: asthma
Allergies: n/a
Diagnostic Lab Data: blood work
CDC 'Split Type': VSAFE

Write-up: 1/8 vaccination HA went away after a week bleeding in between vaccinations ultra sounds weekly, blood work 1st went to ER, 2nd bleeding episode went to PCM for same day visit 2/2 miscarriage, D&C


Changed on 5/14/2021

VAERS ID: 1069793 Before After
VAERS Form:2
Age:27.0
Sex:Female
Location:New York
Vaccinated:2021-01-08
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Headache, Ultrasound pelvis, Haemorrhage, Uterine dilation and curettage, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: asthma
Allergies: n/a n/a
Diagnostic Lab Data: blood work
CDC 'Split Type': VSAFE

Write-up: 1/8 vaccination HA went away after a week bleeding in between vaccinations ultra sounds weekly, blood work 1st went to ER, 2nd bleeding episode went to PCM for same day visit 2/2 miscarriage, D&C


Changed on 6/4/2021

VAERS ID: 1069793 Before After
VAERS Form:2
Age:27.0
Sex:Female
Location:New York
Vaccinated:2021-01-08
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Abortion spontaneous, Headache, Ultrasound pelvis, Haemorrhage, Uterine dilation and curettage, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: asthma
Allergies: n/a
Diagnostic Lab Data: blood work
CDC 'Split Type': VSAFE vsafe

Write-up: 1/8 vaccination HA went away after a week bleeding in between vaccinations ultra sounds weekly, blood work 1st went to ER, 2nd bleeding episode went to PCM for same day visit 2/2 miscarriage, D&C

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1069793&WAYBACKHISTORY=ON


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