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

This is VAERS ID 1058428



Case Details

VAERS ID: 1058428 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-01-21
Onset:2021-01-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 013L20A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Body temperature increased, Chills, Human chorionic gonadotropin negative, Nausea, Pain, Pyrexia, Sleep disorder, Ultrasound antenatal screen abnormal
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: COVID 19 1st vaccine; unilateral adenopathy (filed report)
Other Medications: Prenatal
Current Illness: n/a
Preexisting Conditions: hypertension
Allergies: erythromycin (questionable)
Diagnostic Lab Data: 27th; HCG levels 12 1/28th, 4th 1/29th. 27th jan ultra sound; no fetus.
CDC Split Type: vsafe

Write-up: 1/21 vaccination By that evening, I started having chills by 5pm. Began to have body aches; 7pm. Low Grade fever increased to 102 overnight. I didn''t sleep at all to no avail with Tylenol and Motrin. Nauseous. 1/22 pregnancy test; positive By Friday evening, symptoms started to dissipate. 1/26 Miscarried; 4 weeks 3 days pregnant 1st pregnancy


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