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

This is VAERS ID 988939



Case Details

VAERS ID: 988939 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-01-28
Onset:2021-01-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Abortion spontaneous, Injection site pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Termination of pregnancy and risk of abortion (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: Montelukast, 10mg
Current Illness: N/A
Preexisting Conditions: Obesity Asthma
Allergies: Tree nut
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pregnancy confirmed 1/28/2021, 5 weeks 5 days. Pregnancy lost 1/31/2021. Symptoms after Moderna vaccine were low fever and pain at injection site.


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