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From the 4/30/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1074467



Case Details

VAERS ID: 1074467 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-28
Onset:2021-02-06
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Chills, Pelvic discomfort, Pregnancy, Ultrasound foetal abnormal
SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Micronized Progesterone supplements, prenatal vitamins, probiotics
Current Illness: No
Preexisting Conditions: Asthma
Allergies: Codeine
Diagnostic Lab Data: Normal ultrasound on Feb 5 (7 weeks 1 day gestation). Abnormal ultrasound on Mar 4 (7 weeks 2 days gestation).
CDC Split Type:

Write-up: Pregnancy loss: estimated due date was September 22, 2021. The only symptoms I experienced were pelvic cramping and chills. I did not have a fever. I received both doses during pregnancy. There is no explanation for the loss of the pregnancy. The baby showed as healthy and normal with a strong heartbeat on Feb 5 and the baby stopped growing and the heart stopped beating on Feb 6.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210430&IDNUMBER=1074467

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