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

This is VAERS ID 1427389



Case Details

VAERS ID: 1427389 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-04-03
Onset:2021-06-21
   Days after vaccination:79
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016B21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Cytogenetic abnormality, Foetal heart rate abnormal, Placental transfusion syndrome, Subchorionic haemorrhage, Ultrasound antenatal screen abnormal
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Congenital, familial and genetic disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: Previously reported to VAERS - subchorionic hemorrhage in the same pregnancy on May 24. (VAERS ID 1378256)
Other Medications: Progesterone, low dose naltrexone, multivitamin, lexapro, vitamin D
Current Illness: N/A
Preexisting Conditions: West Nile survivor
Allergies: Sulfa
Diagnostic Lab Data: Investigation on the cause of miscarriage is ongoing. It is suspected to be either chromosomal or twin-to-twin transfusion syndrome.
CDC Split Type:

Write-up: Missed miscarriage of 11 week old, mo/di identical twins. Discovered as lack of heartbeat on ultrasound on June 21.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1427389


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