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This is VAERS ID 1116562

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1116562
VAERS Form:2
Age:38.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-15
Onset:2021-02-26
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abortion spontaneous, Exposure during pregnancy, Inappropriate schedule of product administration

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: Patient received first dose of Moderna vaccine on 1/15/21 and was not aware of pregnancy. On 2/12/21, she called and cancelled her 2nd dose appointment because she found out she was pregnant. On 3/16/21 she contacted the pharmacy to schedule a second dose vaccine appointment because she said she had a miscarriage. Called Moderna to report it and Moderna confirmed to give second dose past the 42 days cdc recommendation instead of restarting the series. Patient received 2nd dose on 3/17/21 and has a follow up appointment with OB/GYN on 3/20/21.

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