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

This is VAERS ID 1107944



Case Details

VAERS ID: 1107944 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-01-22
Onset:2021-02-05
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA DOESN''T HAVE LO / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Blood gases, Blood test normal, Exposure during pregnancy, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), 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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Labetalol 200 mg
Current Illness: No
Preexisting Conditions: High blood pressure
Allergies: No
Diagnostic Lab Data: Sonogram, Bloodwork ABG level
CDC Split Type: vsafe

Write-up: After Dose1 I was 10 weeks pregnant went to doctor for sonogram. I went to doctor heart rate 160 doctor stated everything was fine I could start telling everyone I wa pregnant. On 2/5 I started having a miscarriage the fetus was 12 weeks. My blood work was good no abnormalities from the enzymes.(estimated of delivery 8/17/2021)


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