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From the 5/7/2021 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 1081203

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Case Details

VAERS ID: 1081203 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Tennessee  
   Days after vaccination:28
Submitted: 0000-00-00
Entered: 2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Public       Purchased by: ?
Symptoms: Abortion spontaneous, Ultrasound uterus abnormal
SMQs:, 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: Azelastine nasal spray, benadryl, Prenatal vitamins, Breo Ellipts, Zyrtec, Pristiq
Current Illness: Asthma, Anxiety
Preexisting Conditions: Asthma, Anxiety
Allergies: Cats, Grass Pollen, Mold, Oak trees
Diagnostic Lab Data: Ultrasound confirmed spontaneous abortion
CDC Split Type:

Write-up: Patient had LMP on 1/12/21, so was most likely early pregnant at the time of her first vaccine. She then experienced a miscarriage on 3/1/21. She was assessed in the ER and then in our OBGYN office.

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