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This is VAERS ID 1090818

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1090818
VAERS Form:2
Age:33.0
Sex:Female
Location:Colorado
Vaccinated:2021-01-25
Onset:2021-02-18
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Exposure during pregnancy

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My last period was Jan 7, 2021. Received Vaccine, dose 2 on 1/25/21 (I did not know I was pregnant at that time). Had a miscarriage and lost baby Feb 18-21


Changed on 5/21/2021

VAERS ID: 1090818 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Colorado
Vaccinated:2021-01-25
Onset:2021-02-18
Submitted:0000-00-00
Entered:2021-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 029L20A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Exposure during pregnancy

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: My last period was Jan 7, 2021. Received Vaccine, dose 2 on 1/25/21 (I did not know I was pregnant at that time). Had a miscarriage and lost baby Feb 18-21

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1090818&WAYBACKHISTORY=ON


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