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

This is VAERS ID 1047157



Case Details

VAERS ID: 1047157 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-25
Onset:2021-02-14
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin decreased, Migraine
SMQs:, 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? Yes
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins with omega 3; vitamin d3
Current Illness: N/a
Preexisting Conditions: Digestive issues related to previous gastritis/stress
Allergies: N/a
Diagnostic Lab Data: Miscarriage completed naturally without medical intervention. Cause unknown.
CDC Split Type:

Write-up: Miscarriage at 8 weeks of pregnancy, 2/14/21. Tissue passed naturally without medical intervention. Hormone levels dropped without concern. The week prior to miscarriage sharp sporadic headaches (migraine-like but only lasting a few minutes at a time and coming frequently) started, and have continued daily through today (2/22/21)


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1047157


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