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From the 9/10/2021 release of VAERS data:

This is VAERS ID 923743



Case Details

VAERS ID: 923743 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-26
Onset:2021-01-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-01-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Human chorionic gonadotropin negative, Laboratory test, Progesterone normal
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: Prenatal Vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Follow blood work HCG- negative Progesterone level -Normal
CDC Split Type: vsafe

Write-up: I had a miscarriage on 01/01/2021 Estimated date of Delivery 09/7/ 2021


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=923743


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