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This is VAERS ID 966887

History of Changes from the VAERS Wayback Machine

First Appeared on 2/12/2021

VAERS ID: 966887
VAERS Form:2
Age:31.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-24
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa medication
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Miscarried at 7.5 weeks between vaccination #1 and #2. I do not believe the vaccine was a cause, however, it was recommended to report just in case. This was a second pregnancy, first miscarriage. EDD was 9-1-2021. First pregnancy was uncomplicated. Pregnancy tests were negative prior to receiving the first vaccine and then turned positive on 12-29-2020 (5 days after getting first vaccine.)


Changed on 5/7/2021

VAERS ID: 966887 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-24
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa medication medication
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Miscarried at 7.5 weeks between vaccination #1 and #2. I do not believe the vaccine was a cause, however, it was recommended to report just in case. This was a second pregnancy, first miscarriage. EDD was 9-1-2021. First pregnancy was uncomplicated. Pregnancy tests were negative prior to receiving the first vaccine and then turned positive on 12-29-2020 (5 days after getting first vaccine.)


Changed on 5/14/2021

VAERS ID: 966887 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Iowa
Vaccinated:2020-12-24
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Abortion spontaneous

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa medication medication
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Miscarried at 7.5 weeks between vaccination #1 and #2. I do not believe the vaccine was a cause, however, it was recommended to report just in case. This was a second pregnancy, first miscarriage. EDD was 9-1-2021. First pregnancy was uncomplicated. Pregnancy tests were negative prior to receiving the first vaccine and then turned positive on 12-29-2020 (5 days after getting first vaccine.)

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=966887&WAYBACKHISTORY=ON

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