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

This is VAERS ID 1075754



Case Details

VAERS ID: 1075754 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: California  
Vaccinated:2021-01-21
Onset:2021-01-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 042L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Fatigue, Human chorionic gonadotropin, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Tendinopathies and ligament disorders (broad), 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:
Other Medications: Levothyroxine; prenatal vitamins
Current Illness: -adverse symptoms from December 24''s first dose of COVID vaccine - headache - three hours and arm soreness that lasted until the 28th. -no other acute symptoms
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: These were at Medical Center I was having serial beta HCGs done - I had my first one on the 19th of January - 170 MIU per ml; 21st - 250 MIU per ml; 25th of January - 330 MIU per ml; 27th of January - 404.8 MIU per ml; 29th of January - 478 MIU per ml;, I think I had one the first or second of February but don''t have the results - think that was lower. February 8 - 2 MIU per ml I had my thyroid test done on the January 19th - my TSH was 3.85 UIU per ml; I had a free T4 - 1.35 ng/dl
CDC Split Type: vsafe

Write-up: I had some arm soreness that started the morning after (22nd) and that lasted until the 27th of January....it got better each day. I had fever to 102 that started on the 22nd. The fever ended on 23rd. I took Tylenol - it didn''t help on the 22nd but by 23rd it did. I felt fatigue -22nd and went away on 24th. I miscarried 27th-29th -30th- that timeframe. The miscarriage prompted care. I went to Medical Center. I was not pregnant at time first vaccination. Estimated date of delivery had been - September 22, 2021; I have no prior pregnancy history.


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