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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1039396



Case Details

VAERS ID: 1039396 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-02-14
Onset:2021-02-16
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin decreased, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Levothyroxine, calcium, calcitriol, folic acid
Current Illness:
Preexisting Conditions: Thyroid cancer s/p total thyroidectomy c/b hypoparathyroidism
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Miscarriage: vaginal bleeding with clots and tissue within 1 week of a positive home pregnancy test, two days after vaccination. Blood HCG take once vaginal bleeding commenced was <5.


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