National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 949487

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 2/4/2021

VAERS ID: 949487
VAERS Form:2
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient is 16 years old and pregnant. She received one dose of the Moderna COVID19 vaccine. She has not called the clinic to complain of any side effects. This report is being made because the patient is under the age limit to receive the vaccine at this time.


Changed on 5/7/2021

VAERS ID: 949487 Before After
VAERS Form:2
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: NKA NKA
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient is 16 years old and pregnant. She received one dose of the Moderna COVID19 vaccine. She has not called the clinic to complain of any side effects. This report is being made because the patient is under the age limit to receive the vaccine at this time.


Changed on 5/21/2021

VAERS ID: 949487 Before After
VAERS Form:2
Age:16.0
Sex:Female
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027L20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Exposure during pregnancy, Product administered to patient of inappropriate age

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: NKA NKA
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient is 16 years old and pregnant. She received one dose of the Moderna COVID19 vaccine. She has not called the clinic to complain of any side effects. This report is being made because the patient is under the age limit to receive the vaccine at this time.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=949487&WAYBACKHISTORY=ON


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