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This is VAERS ID 1109162

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 1109162
VAERS Form:2
Age:28.0
Sex:Female
Location:Minnesota
Vaccinated:2021-01-28
Onset:2021-03-02
Submitted:0000-00-00
Entered:2021-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Abortion spontaneous, Ultrasound scan, Vaginal haemorrhage, Human chorionic gonadotropin, Exposure during pregnancy

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)? Yes
Hospitalized? No
Previous Vaccinations: Cellulitis in arm from Pneumovax
Other Medications: Prenatal vitamin Nasacort nasal spray Pantoprazole Tylenol prn
Current Illness:
Preexisting Conditions: Asthma, gerd
Allergies: Latex, penicillin, poppy seeds
Diagnostic Lab Data: Received 1st vaccine on January 7. Confirmed pregnant at facility on January 26. Received 2nd vaccine on January 28 (4w4d pregnant). Began bleeding on March 2. First ultrasound at Clinic when seen for bleeding (on March 7) measured gestational sac at 6w4d, was 10w at the time. HCG levels at 13,200. Seen at Clinic on March 8, HCG levels at 9,000. Passed gestional sac on March 11/12. Ultrasound done on March 15 showed no gestational sac.
CDC 'Split Type':

Write-up: Miscarriage of baby due on 10/3/21.

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