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

This is VAERS ID 1042126



Case Details

VAERS ID: 1042126 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-02-10
Onset:2021-02-16
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Abortion spontaneous, Pregnancy
SMQs:, 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? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Azythromycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unknowingly pregnant at time of vaccination. Had a miscarriage one week later. Due on October 12.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1042126


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