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

This is VAERS ID 1512934

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Case Details

VAERS ID: 1512934 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Unknown  
Location: Ohio  
Vaccinated:1983-09-17
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was approximately three months pregnant, and miscarried shortly after receiving vaccine, this was per mother. Case reports daughter had problems with pregnancy prior to receiving the COVID vaccine, and after examining following the miscarriage and noted finding huge blood clots.


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