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

This is VAERS ID 1454526



Case Details

VAERS ID: 1454526 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-06-14
Onset:2021-07-07
   Days after vaccination:23
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016C21A / 1 RA / SC

Administered by: Private       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Human chorionic gonadotropin, Ultrasound pelvis
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin Probiotic Vitamin B
Current Illness: None
Preexisting Conditions: Eczema
Allergies: Hydrocodone-Tylenol
Diagnostic Lab Data: pelvic ultrasound and bHCG to confirm diagnosis
CDC Split Type:

Write-up: Patient was newly pregnant when she received her first Covid vaccine. Was later diagnosed with a missed miscarriage


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