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

This is VAERS ID 1041297



Case Details

VAERS ID: 1041297 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-01-02
Onset:2021-02-07
   Days after vaccination:36
Submitted: 0000-00-00
Entered: 2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026L20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Haemorrhage, Thrombosis, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins Multi-Vitamins Levothyroixine
Current Illness: None
Preexisting Conditions: Thyroid
Allergies: None
Diagnostic Lab Data: None
CDC Split Type: vsafe

Write-up: I started bleeding on the 4th, doctor stated threaten miscarriage. I had blood clots and vomiting''. I was taking to emergency room. I was giving a DNC because I had a miscarriage.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1041297


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