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

This is VAERS ID 1307914



Case Details

VAERS ID: 1307914 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2021-04-23
Onset:2021-04-29
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041B21A / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Blood test, Dizziness, Haemorrhage, Human chorionic gonadotropin, Muscle spasms
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Dystonia (broad), Vestibular disorders (broad), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: Blood tests to check Hcg levels among other things in my blood
CDC Split Type:

Write-up: Miscarriage less than a week after the second vaccine with Moderna. Estimated due date 01/07/2022, started with extreme dizziness and ended with Contraction like cramps and bleeding. History of very healthy full term pregnancies.


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