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From the 10/8/2021 release of VAERS data:

This is VAERS ID 962952



Case Details

VAERS ID: 962952 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-01-10
Onset:2021-01-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0255202A / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Herbal remedy from acupuncturist
Current Illness: None
Preexisting Conditions: None
Allergies: Allergy to doxycycline
Diagnostic Lab Data: HCG test 1/11 and 1/13
CDC Split Type:

Write-up: Miscarriage


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=962952

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