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From the 5/7/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1061109



Case Details

VAERS ID: 1061109 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: California  
Vaccinated:2021-01-18
Onset:2021-02-25
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin decreased, Ultrasound scan
SMQs:, 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? No
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 vitamins , vitamin D, probiotics
Current Illness: none
Preexisting Conditions: none
Allergies: latex, tree nuts
Diagnostic Lab Data: My miscarriage was confirmed by decreasing HCG levels from 2/24/2021 to 2/26/2021 and by ultrasound.
CDC Split Type:

Write-up: I was pregnant when I received my second dose of the Covid-19 Pfizer vaccine. My first Covid 19 vaccine was administered 12/28/2020. I got pregnant on 12/31/2020, received my second dose on 01/18/2021 and miscarried on 2/25/2021. I have had two prior uncomplicated pregnancies, and have never experienced a miscarriage. I gave birth to my two daughters, one at 42 weeks and one at 40 weeks and 5 days. My EDD for the pregnancy that ended in a miscarriage was due 09/23/2021.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=1061109

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