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This is VAERS ID 947745

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 947745
VAERS Form:2
Age:37.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test negative, Pregnancy test positive, Vaginal haemorrhage, Impaired work ability, Exposure during pregnancy

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:
Current Illness:
Preexisting Conditions:
Allergies: no known allergies
Diagnostic Lab Data: Pregnancy Test #1: Positive 1-11-2021 Pregnancy Test #2: Negative 1-13-2021
CDC 'Split Type':

Write-up: When this individual received her Moderna Covid-19 vaccine (Dose #1) on 12-29-2020 she did not know her pregnancy status. She did not think she was pregnant. On Thursday 1-7-2021 around 4 AM she started experiencing severe abdominal pain. She did not go to work that day but did go in on Friday 1-8-2021. On Saturday 1-9-2021 she woke up with significant vaginal bleeding. On Monday 1-11-2021 she went to the OB/GYN and there she had a positive pregnancy test. The diagnosis of miscarriage was made at that time. A couple of days later, a repeat pregnancy test resulted in a negative reading.


Changed on 5/7/2021

VAERS ID: 947745 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test negative, Pregnancy test positive, Vaginal haemorrhage, Impaired work ability, Exposure during pregnancy

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:
Current Illness:
Preexisting Conditions:
Allergies: no known allergies allergies
Diagnostic Lab Data: Pregnancy Test #1: Positive 1-11-2021 Pregnancy Test #2: Negative 1-13-2021
CDC 'Split Type':

Write-up: When this individual received her Moderna Covid-19 vaccine (Dose #1) on 12-29-2020 she did not know her pregnancy status. She did not think she was pregnant. On Thursday 1-7-2021 around 4 AM she started experiencing severe abdominal pain. She did not go to work that day but did go in on Friday 1-8-2021. On Saturday 1-9-2021 she woke up with significant vaginal bleeding. On Monday 1-11-2021 she went to the OB/GYN and there she had a positive pregnancy test. The diagnosis of miscarriage was made at that time. A couple of days later, a repeat pregnancy test resulted in a negative reading.


Changed on 5/14/2021

VAERS ID: 947745 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Kentucky
Vaccinated:2020-12-29
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Abortion spontaneous, Pregnancy test negative, Pregnancy test positive, Vaginal haemorrhage, Impaired work ability, Exposure during pregnancy

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:
Current Illness:
Preexisting Conditions:
Allergies: no known allergies allergies
Diagnostic Lab Data: Pregnancy Test #1: Positive 1-11-2021 Pregnancy Test #2: Negative 1-13-2021
CDC 'Split Type':

Write-up: When this individual received her Moderna Covid-19 vaccine (Dose #1) on 12-29-2020 she did not know her pregnancy status. She did not think she was pregnant. On Thursday 1-7-2021 around 4 AM she started experiencing severe abdominal pain. She did not go to work that day but did go in on Friday 1-8-2021. On Saturday 1-9-2021 she woke up with significant vaginal bleeding. On Monday 1-11-2021 she went to the OB/GYN and there she had a positive pregnancy test. The diagnosis of miscarriage was made at that time. A couple of days later, a repeat pregnancy test resulted in a negative reading.

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