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

This is VAERS ID 1104476



Case Details

VAERS ID: 1104476 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-01-09
Onset:2021-01-26
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / IM

Administered by: Private       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: Sertraline 200mg daily Trazodone 25mg nightly Prenatal vitamin
Current Illness: None
Preexisting Conditions: Depression/Anxiety Recurrent miscarriages
Allergies: No known allergies
Diagnostic Lab Data: Genetic testing of embryo showed trisomy 12.
CDC Split Type:

Write-up: Miscarriage: LMP 11/17/20, diagnosis of MAB on 1/26/21. Chromosomal testing of the embryo determined cause of miscarriage to be trisomy 12. Prior to this most recent miscarriage I had 3 previous miscarriages and 1 live birth (1 living child). To be clear, I do not blame the vaccine for the miscarriage, the chromosomes of the embryo were determined before I got my first Covid vaccine.


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