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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1028819

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Case Details

VAERS ID: 1028819 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-18
Onset:2021-02-03
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Foetal heart rate abnormal, Human chorionic gonadotropin decreased, Ultrasound antenatal screen abnormal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (narrow)

Life Threatening? No
Birth Defect? Yes
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin, Zyrtec, Benadryl, flexeril, prenatal vitamins.
Current Illness: None
Preexisting Conditions: Anxiety, migraines
Allergies: Latex, PCN, sulfa, reglan, phenergan
Diagnostic Lab Data: 2/3 - ultrasound showed no heartbeat 2/5 - beta hcg quant - 41,xxx 2/7 - beta hcg quant - 40,xxx 2/11 - 2nd confirmation ultrasound. 2/11 - beta hcg quant - 35,xxx
CDC Split Type:

Write-up: First trimester miscarriage after receiving both vaccine doses while pregnant. Granada 5, Para 3 at time of vaccine administration. Due date 9/17/2021


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