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From the 11/26/2021 release of VAERS data:

This is VAERS ID 947745

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Case Details

VAERS ID: 947745 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2020-12-29
Onset:2021-01-07
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Abortion spontaneous, Exposure during pregnancy, Impaired work ability, Pregnancy test negative, Pregnancy test positive, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: no known allergies
Diagnostic Lab Data: Pregnancy Test #1: Positive 1-11-2021 Pregnancy Test #2: Negative 1-13-2021
CDC Split Type:

Write-up: When this individual received her Moderna Covid-19 vaccine (Dose #1) on 12-29-2020 she did not know her pregnancy status. She did not think she was pregnant. On Thursday 1-7-2021 around 4 AM she started experiencing severe abdominal pain. She did not go to work that day but did go in on Friday 1-8-2021. On Saturday 1-9-2021 she woke up with significant vaginal bleeding. On Monday 1-11-2021 she went to the OB/GYN and there she had a positive pregnancy test. The diagnosis of miscarriage was made at that time. A couple of days later, a repeat pregnancy test resulted in a negative reading.


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