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This is VAERS ID 1124657

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 1124657
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-02-09
Onset:2021-02-16
Submitted:0000-00-00
Entered:2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Foetal death, Cytogenetic analysis, Immunology test, Uterine dilation and evacuation, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness:
Preexisting Conditions: none
Allergies: Minocycline, clomid
Diagnostic Lab Data: Autoimmune workup, genetic workup, D and E performed 3/8/2022
CDC 'Split Type':

Write-up: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after


Changed on 5/7/2021

VAERS ID: 1124657 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-02-09
Onset:2021-02-16
Submitted:0000-00-00
Entered:2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Foetal death, Cytogenetic analysis, Immunology test, Uterine dilation and evacuation, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness:
Preexisting Conditions: none
Allergies: Minocycline, clomid clomid
Diagnostic Lab Data: Autoimmune workup, genetic workup, D and E performed 3/8/2022
CDC 'Split Type':

Write-up: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after


Changed on 5/21/2021

VAERS ID: 1124657 Before After
VAERS Form:2
Age:30.0
Sex:Female
Location:Virginia
Vaccinated:2021-02-09
Onset:2021-02-16
Submitted:0000-00-00
Entered:2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Foetal death, Cytogenetic analysis, Immunology test, Uterine dilation and evacuation, Exposure during pregnancy

Life Threatening? No
Birth Defect? Yes
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)? Yes
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness:
Preexisting Conditions: none
Allergies: Minocycline, clomid clomid
Diagnostic Lab Data: Autoimmune workup, genetic workup, D and E performed 3/8/2022
CDC 'Split Type':

Write-up: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after

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