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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1449610

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Case Details

VAERS ID: 1449610 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-29
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Abortion spontaneous, Dyspnoea, Maternal exposure during pregnancy, Rash, Ultrasound scan vagina
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? No
Previous Vaccinations:
Other Medications: FOLIC ACID
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Miscarriage; Pregnancy (Patient no longer pregnant at the time of reporting.)
Allergies:
Diagnostic Lab Data: Test Date: 20210618; Test Name: Transvaginal US; Test Result: Inconclusive ; Result Unstructured Data: Gestational age: 5 weeks 5 days, gestational sac present ,sac size4x4x3mm Yolk sac absent, amniotic sac absent, embryo absent: subsequent miscarriage
CDC Split Type: GBMODERNATX, INC.MOD20212

Write-up: miscarriage; i''m certainly not putting fault on the vaccine; Maternal exposure during pregnancy; rash on my arm at site of injection; This regulatory authority case was reported by a consumer and describes the occurrence of ABORTION SPONTANEOUS (miscarriage) in a 39-year-old female patient who received mRNA-1273 (Moderna CoviD-19 Vaccine) (batch no. 3002332) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Miscarriage and Pregnancy (Patient no longer pregnant at the time of reporting.). Concomitant products included FOLIC ACID for an unknown indication. On 29-May-2021, the patient received first dose of mRNA-1273 (Moderna CoviD-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ABORTION SPONTANEOUS (miscarriage) (seriousness criterion medically significant), DYSPNOEA (i''m certainly not putting fault on the vaccine), MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) and RASH (rash on my arm at site of injection). At the time of the report, ABORTION SPONTANEOUS (miscarriage), DYSPNOEA (i''m certainly not putting fault on the vaccine) and RASH (rash on my arm at site of injection) had resolved and MATERNAL EXPOSURE DURING PREGNANCY (Maternal exposure during pregnancy) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 18-Jun-2021, Ultrasound scan vagina: unknown (Inconclusive) Gestational age: 5 weeks 5 days, gestational sac present ,sac size4x4x3mm Yolk sac absent, amniotic sac absent, embryo absent: subsequent miscarriage. The action taken with mRNA-1273 (Moderna CoviD-19 Vaccine) (Unknown) was unknown. treatment information was not reported Patient was exposed to the medicine first-trimester (1-12 weeks). Company Comment : This is a case of product exposure during pregnancy with associated AEs Abortion spontaneous, Dyspnea and Rash for this 39-year-old female. No further information is expected.; Sender''s Comments: This is a case of product exposure during pregnancy with associated AEs Abortion spontaneous, Dyspnea and Rash for this 39-year-old female. No further information is expected.


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