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This is VAERS ID 1108773

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1108773
VAERS Form:2
Age:30.0
Sex:Female
Location:Indiana
Vaccinated:2020-12-26
Onset:2021-01-23
Submitted:0000-00-00
Entered:2021-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Abortion spontaneous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Wellbutrin XL 300 mg once daily prenatal vit daily
Current Illness: none
Preexisting Conditions: depression
Allergies: none
Diagnostic Lab Data: Miscarriage confirmed on 1/25/21
CDC 'Split Type':

Write-up: I suffered a miscarriage at 7 weeks 4 days. Miscarriage occurred on 1/23/21. Vaccination 1 was on 12/26/20 & Vaccination 2 was 1/12/21

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1108773&WAYBACKHISTORY=ON


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