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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1069850

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Case Details

VAERS ID: 1069850 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-01-20
Onset:2021-02-13
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-03-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound abdomen, Uterine dilation and curettage
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (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 vitamin, probiotic
Current Illness: None
Preexisting Conditions: Previous miscarriage x2; psoriasis
Allergies: none
Diagnostic Lab Data: Ultrasound, quant, D&C
CDC Split Type:

Write-up: LMP 1/10/2021. Moderna vaccine #2 1/20/2021. Positive pregnancy test 2/2/2021. Confirmed loss by US 2/13/2021 and decreasing quant. D&C 2/19/2021


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