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

This is VAERS ID 1021115



Case Details

VAERS ID: 1021115 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: New York  
Vaccinated:2020-12-23
Onset:2021-02-02
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound scan vagina
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: TV US on 2/10 showing missed miscarraige of twins
CDC Split Type:

Write-up: I found out I was pregnant between dose 1 and 2 of the vaccines. I received dose 1 on 12/23/21 and had a positive pregnancy test on 1/2/21. I had my 2nd dose on 1/13 at 5w6 days based on LMP. I had my first prenatal visit on 2/10/21 at which time US showed twin gestation but neither fetus had a heartbeat.


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