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This is VAERS ID 1419048

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1419048
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-05-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Patient has not had symptoms associated with COVID-19 Not had a COVID-19 test Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021671609

Write-up: Miscarriage; This is a spontaneous report from a contactable consumer or other non hcp received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106072146044340-UFKMP. A female patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 15May2021 as single dose for Covid-19 immunization. Relevant medical history and concomitant medications were not reported. The patient experienced miscarriage on an unspecified date with outcome of not recovered. No follow-up attempts are possible. No further information is expected.

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