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This is VAERS ID 917595

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 917595
VAERS Form:2
Age:31.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound pelvis abnormal, Blood test abnormal, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: 1/1/21 - emergency room visit at Hospital. Bloodwork and ultrasound confirmed miscarriage.
CDC 'Split Type':

Write-up: I was about 6 weeks pregnant when I received the vaccine on 12/26/20. I had a miscarriage on 1/1/21. I have a pregnancy history of one prior healthy full term pregnancy in 2019.


Changed on 5/7/2021

VAERS ID: 917595 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound pelvis abnormal, Blood test abnormal, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: 1/1/21 - emergency room visit at Hospital. Bloodwork and ultrasound confirmed miscarriage.
CDC 'Split Type':

Write-up: I was about 6 weeks pregnant when I received the vaccine on 12/26/20. I had a miscarriage on 1/1/21. I have a pregnancy history of one prior healthy full term pregnancy in 2019.


Changed on 5/14/2021

VAERS ID: 917595 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Rhode Island
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound pelvis abnormal, Blood test abnormal, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Pre-natal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: 1/1/21 - emergency room visit at Hospital. Bloodwork and ultrasound confirmed miscarriage.
CDC 'Split Type':

Write-up: I was about 6 weeks pregnant when I received the vaccine on 12/26/20. I had a miscarriage on 1/1/21. I have a pregnancy history of one prior healthy full term pregnancy in 2019.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=917595&WAYBACKHISTORY=ON


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