VAERS ID: 958501

AGE: 32| SEX: F|STATE: VA (United States)

Description

Client was pregnant at time of vaccination. She had consulted with 2 OBGYNS that are following her concerning if she should receive the covid vaccine. They both stated yes. She received her 1st covid vaccination to her left deltiod between 12pm - 1300 on 1/14/21. She did not experience any complications or feel any side effects immediately after vaccination. She was monitored by nursing staff for over 30 min to be prudent. On 1/16/21 the Sat following vaccination she began experiencing cramping in her stomach and began to bleed vaginally. She consulted w her OBGYN and was monitored. She miscarried on 1/19/21.

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Symptoms

Vaginal haemorrhage, Pregnancy, Abdominal pain upper, Abortion spontaneous, Exposure during pregnancy

Vaccines

VAX DATE: 01-14-2021| ONSET DATE: 01-16-2021| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 026L20A IM LA

RECVDATE:01-20-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:OBGYN examined client not sure what tests were performed. PHN collected all information from client on 1/21/21.
V_ADMINBY:PUB
OTHER_MEDS:8 weeks 5 days, estimated due date august 22, 2021, prenatel mvi qd
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-20-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKA
V_FUNDBY:

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