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

This is VAERS ID 1097975



Case Details

VAERS ID: 1097975 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-03-11
Onset:2021-03-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abortion spontaneous, Blood test, Haemorrhage, Ultrasound antenatal screen abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (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)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin
Current Illness: none
Preexisting Conditions: fibroid
Allergies: gluten intolerant, no known medication allergies
Diagnostic Lab Data: blood draws and ultrasounds to assess and confirm the diagnosis
CDC Split Type:

Write-up: Patient started having pain prior to her injection on 3/11/21. On 3/12/21, she started bleeding, and on 3/14/21 she miscarried at 13 weeks.


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