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This is VAERS ID 1102166

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 1102166
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-31
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Dysmenorrhoea, Induced labour, Premature labour, Premature rupture of membranes, Exposure during pregnancy

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Was seen in Labor and delivery on 2/5/21, was induced on 2/8/21. I was continually monitored during that time for contractions.
CDC 'Split Type':

Write-up: I received the first dose of the vaccine on 1/31/21. I was 33 weeks pregnant, with an estimated due date on 3/21/21. This was my first pregnancy and I had no complications up to that point. On 2/2/21 I began experiencing menstrual type cramps, which continued for a few days. On 2/5/21, my OBGYN suggested I be examined in Labor and Delivery, where it was determined I was in pre-term labor. Contractions were temporarily stopped, however my water broke on 2/7/21 and it was suggested that I be induced. I was induced on a later date at 34w1d pregnant and delivered my son, who weighed in at 4lbs. 15oz.


Changed on 5/7/2021

VAERS ID: 1102166 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-31
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Dysmenorrhoea, Induced labour, Premature labour, Premature rupture of membranes, Exposure during pregnancy

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Was seen in Labor and delivery on 2/5/21, was induced on 2/8/21. I was continually monitored during that time for contractions.
CDC 'Split Type':

Write-up: I received the first dose of the vaccine on 1/31/21. I was 33 weeks pregnant, with an estimated due date on 3/21/21. This was my first pregnancy and I had no complications up to that point. On 2/2/21 I began experiencing menstrual type cramps, which continued for a few days. On 2/5/21, my OBGYN suggested I be examined in Labor and Delivery, where it was determined I was in pre-term labor. Contractions were temporarily stopped, however my water broke on 2/7/21 and it was suggested that I be induced. I was induced on a later date at 34w1d pregnant and delivered my son, who weighed in at 4lbs. 15oz.


Changed on 5/21/2021

VAERS ID: 1102166 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-31
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Dysmenorrhoea, Induced labour, Premature labour, Premature rupture of membranes, Exposure during pregnancy

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Was seen in Labor and delivery on 2/5/21, was induced on 2/8/21. I was continually monitored during that time for contractions.
CDC 'Split Type':

Write-up: I received the first dose of the vaccine on 1/31/21. I was 33 weeks pregnant, with an estimated due date on 3/21/21. This was my first pregnancy and I had no complications up to that point. On 2/2/21 I began experiencing menstrual type cramps, which continued for a few days. On 2/5/21, my OBGYN suggested I be examined in Labor and Delivery, where it was determined I was in pre-term labor. Contractions were temporarily stopped, however my water broke on 2/7/21 and it was suggested that I be induced. I was induced on a later date at 34w1d pregnant and delivered my son, who weighed in at 4lbs. 15oz.

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