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

This is VAERS ID 1010028



Case Details

VAERS ID: 1010028 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-30
Onset:2021-01-14
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy
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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Aspirin and Peninsilin
Diagnostic Lab Data:
CDC Split Type:

Write-up: The day I got the first shot of Moderna Covid19 vaccine I was 4 weeks pregnant. Starting week 6 I start to have symptoms of miscarriage (January 14 2021). This continued until January 18 when I lost the baby. I was due in September 2, 2021.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1010028


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