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From the 2/18/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1023866



Case Details

VAERS ID: 1023866 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-15
Onset:2021-02-11
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Full blood count, Gynaecological examination abnormal, Human chorionic gonadotropin decreased, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (narrow)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: HCG and CBC blood work. 2/11. Vaginal exam by OBGYN 2/11
CDC Split Type:

Write-up: Miscarriage at 6 weeks 1 day. Vaginal bleeding and decline in HCG hormone. Pregnancy not viable.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210218&IDNUMBER=1023866

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