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From the 7/16/2021 release of VAERS data:

This is VAERS ID 957627



Case Details

VAERS ID: 957627 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-01-15
Onset:2021-01-19
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Foetal heart rate abnormal, Prenatal screening test, Ultrasound scan normal
SMQs:, Foetal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Effexor, prenatal vitamins
Current Illness: None
Preexisting Conditions: Anxiety
Allergies: None
Diagnostic Lab Data: Normal cell free DNA. Normal ultrasound on 1/11/21.
CDC Split Type:

Write-up: I received the vaccine on 1/15/21. I was 12 weeks and 4 days pregnant. My cell free DNA testing was normal that week and it was a boy. My ultrasound 4 days prior was normal too. On 1/19/21 the baby did not have a heartbeat. My EDD was 7/26/21


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