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This is VAERS ID 995875

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 995875
VAERS Form:2
Age:34.0
Sex:Female
Location:Vermont
Vaccinated:2021-01-09
Onset:2021-01-23
Submitted:0000-00-00
Entered:2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9211 / 2 RA / IM

Administered by: Private      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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal Vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Shellfish
Diagnostic Lab Data: HCG TRACT
CDC 'Split Type': vsafe

Write-up: Miscarriage Estimated date of delivery 09/12/2021 I was give IV fluids


Changed on 5/14/2021

VAERS ID: 995875 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Vermont
Vaccinated:2021-01-09
Onset:2021-01-23
Submitted:0000-00-00
Entered:2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9211 / 2 RA / IM

Administered by: Private      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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal Vitamins
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa Shellfish Shellfish
Diagnostic Lab Data: HCG TRACT
CDC 'Split Type': vsafe

Write-up: Miscarriage Estimated date of delivery 09/12/2021 I was give IV fluids

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=995875&WAYBACKHISTORY=ON

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