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

This is VAERS ID 1041373

Case Details

VAERS ID: 1041373 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Pennsylvania  
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Breast feeding, Human chorionic gonadotropin increased, Pregnancy, Ultrasound antenatal screen abnormal
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: Cipro
Diagnostic Lab Data: I had HCG level on 1/8/2021 which was 17,500 and US at 10 weeks which confirmed miscarriage at 5 weeks. At 10.5 weeks but body naturally miscarried without medical intervention. I am 37 yrs old and healthy. I have no way of knowing if the vaccine played a part in this as my odds are 20% to have a miscarriage.
CDC Split Type:

Write-up: I was 4 weeks pregnant when I received the vaccine and had a miscarriage at 5 weeks 3 days. I had one healthy pregnancy to 41 weeks in 2019 and I was and still am breastfeeding.

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