National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1012113

Government Disclaimer on use of this data



Case Details

VAERS ID: 1012113 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2020-12-29
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Abortion missed, Maternal exposure during pregnancy
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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Reflux oesophagitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021067329

Write-up: pregnancy; Missed abortion in the 7th week of pregnancy; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory authority DE-PEI-PEI2021001194. A 35-year-old female patient received bnt162b2 (COMIRNATY, solution for injection, lot number and expiration date were unknown), unknown route of administration on 29Dec2020 at a single dose for COVID-19 immunisation. Medical history included asthma and reflux oesophagitis. The patient''s concomitant medications were not reported. The patient experienced missed abortion in the 7th week of pregnancy on an unspecified date with outcome of unknown. It was mentioned that after vaccination the patient developed missed abortion. No follow-up attempts are possible, information on batch number cannot be obtained.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1012113


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166