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This is VAERS ID 923743

History of Changes from the VAERS Wayback Machine

First Appeared on 2/26/2021

VAERS ID: 923743
VAERS Form:2
Age:32.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Laboratory test, Progesterone normal, Human chorionic gonadotropin negative

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: Prenatal Vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Follow blood work HCG- negative Progesterone level -Normal
CDC 'Split Type': vsafe

Write-up: I had a miscarriage on 01/01/2021 Estimated date of Delivery 09/7/ 2021


Changed on 5/7/2021

VAERS ID: 923743 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Laboratory test, Progesterone normal, Human chorionic gonadotropin negative

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: Prenatal Vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Follow blood work HCG- negative Progesterone level -Normal
CDC 'Split Type': vsafe

Write-up: I had a miscarriage on 01/01/2021 Estimated date of Delivery 09/7/ 2021


Changed on 5/14/2021

VAERS ID: 923743 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Texas
Vaccinated:2020-12-26
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Laboratory test, Progesterone normal, Human chorionic gonadotropin negative

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: Prenatal Vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data: Follow blood work HCG- negative Progesterone level -Normal
CDC 'Split Type': vsafe

Write-up: I had a miscarriage on 01/01/2021 Estimated date of Delivery 09/7/ 2021

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