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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1122111

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Case Details

VAERS ID: 1122111 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-01-06
Onset:2021-01-23
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Pregnancy test, Ultrasound abdomen
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: Sertraline 50 mg
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Environmental only
Diagnostic Lab Data: Ultrasounds on 2/8 and 2/18, multiple HcG levels confirming unviable pregnancy
CDC Split Type:

Write-up: Received both 1st and 2nd dose of Pfizer vaccine before learning that I was pregnant. Conception likely occurred between the two doses, but official pregnancy dating unclear. Ultrasound demonstrated unviable pregnancy on 2/8/21.


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