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

This is VAERS ID 1487904

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Case Details

VAERS ID: 1487904 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-22
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Abortion spontaneous, Menstrual disorder
SMQs:, Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021861766

Write-up: early miscarriage; Menstrual cycle disorder; This is a spontaneous case from a non-contactable consumer regarding herself. A 33-years-old female patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on 22Apr2021 (Batch/Lot Number: Unknown) as single dose, dose 2 via an unspecified route of administration on 04Jun2021 (Batch/Lot Number: Unknown) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced early miscarriage and menstrual cycle disorder on an unspecified date in 2021 with outcome of unknown. No follow-up attempts are possible, information about lot/batch number cannot be obtained.


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