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

This is VAERS ID 913213

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Case Details

VAERS ID: 913213 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-28
Onset:2020-12-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Exposure during pregnancy, Feeling abnormal, Hyperhidrosis, Pain in extremity, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Dementia (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

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: Prenatal vitamins, Synthroid
Current Illness: No
Preexisting Conditions: Hypothyroidism
Allergies: Gluten and dairy allergy
Diagnostic Lab Data: None so far. I anticipate getting HCG levels tested tomorrow.
CDC Split Type:

Write-up: I was believed to be about six weeks pregnant (first trimester) and have started having heavy vaginal bleeding the day after I was given the vaccine. The day I got the vaccine I felt fine beyond arm pain until 2:30 PM when I began feeling chills and sweaty. I measured my temperature and did not have a fever but took Tylenol as advised due to being pregnant. I felt poor through today and this evening began having heavy vaginal bleeding most consistent with a miscarriage. I have never miscarried before. I will go get labs drawn at the earliest time when I call my provider tomorrow.


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