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From the 5/7/2021 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 995325

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Case Details

VAERS ID: 995325 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-02-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Work       Purchased by: ?
Symptoms: Abortion spontaneous, Back pain, Heavy menstrual bleeding, Human chorionic gonadotropin negative, Muscle spasms, Pregnancy test positive
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Dystonia (broad), 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: none
Preexisting Conditions: Uterine Didelphys - no complication and had previously had one healthy pregnancy and delivery
Allergies: penicillin, sulfa, bees
Diagnostic Lab Data: (2) home pregnancy test on 1-26-21 and 1-27-21 Hcg 3.5 on 2-1-21
CDC Split Type:

Write-up: I took an at-home pregnancy test on 1/26/21 and 1/27/21 after a missed period of which both were positive. On Saturday 1/30/21, I began to have heavy bleeding of which lasted through the weekend. I also experienced cramping and low back pain. On 2/1/21 I had an Hcg lab value of 3.5 confirming I had miscarried. This has lasted through 2/2/21.

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