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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1029307



Case Details

VAERS ID: 1029307 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-01-21
Onset:2021-01-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN9581 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion missed, Exposure during pregnancy, Ultrasound scan
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin
Diagnostic Lab Data: Viability ultrasound on 2/12/2021
CDC Split Type:

Write-up: Missed abortion Date of last period December 1, 2020 (34 day cycle) Fetus measured 6 weeks and 4 days on 2/12/2021, but I was expected to be at 9 weeks 4 days. No heart beat. Therefore, estimated date of fetal demise is 1/22/2021 First pregnancy, estimated date of delivery 09/13/2021 Scheduled for D&E on 2/17/2021


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