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From the 9/17/2021 release of VAERS data:

This is VAERS ID 968006



Case Details

VAERS ID: 968006 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Connecticut  
Vaccinated:2021-01-02
Onset:2021-01-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL8982 / 2 LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Abortion spontaneous, Exposure during pregnancy, Ultrasound scan abnormal
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), 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? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Labetalol Sertraline
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Penicillin and all cousins Suprax Cipro Percocet Tetracycline
Diagnostic Lab Data: Ultrasound to confirm 01/04/21
CDC Split Type:

Write-up: Miscarriage on 01/03/21 (due date 08/08/21) 2 previous pregnancies with live births (2006,2010)


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