National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1122111

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1122111
VAERS Form:2
Age:39.0
Sex:Female
Location:Maine
Vaccinated:2021-01-06
Onset:2021-01-23
Submitted:0000-00-00
Entered:2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Pregnancy test, Ultrasound abdomen

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Sertraline 50 mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Environmental only
Diagnostic Lab Data: Ultrasounds on 2/8 and 2/18, multiple HcG levels confirming unviable pregnancy
CDC 'Split Type':

Write-up: Received both 1st and 2nd dose of Pfizer vaccine before learning that I was pregnant. Conception likely occurred between the two doses, but official pregnancy dating unclear. Ultrasound demonstrated unviable pregnancy on 2/8/21.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1122111&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166