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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1264894



Case Details

VAERS ID: 1264894 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Maine  
Vaccinated:2021-04-01
Onset:2021-04-19
   Days after vaccination:18
Submitted: 0000-00-00
Entered: 2021-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

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: Levothyroxine
Current Illness: Runny nose- cold
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Early Miscarriage after vaccine. About 5 weeks pregnant when miscarriage happened.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1264894


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