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

This is VAERS ID 1090296



Case Details

VAERS ID: 1090296 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-02-08
Onset:2021-02-12
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous
SMQs:, Termination of pregnancy and risk of abortion (narrow)

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: Omeprazole, buspar, lexapro
Current Illness: None
Preexisting Conditions: Gerd
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Miscarriage


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1090296


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