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This is VAERS ID 1012113

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1012113
VAERS Form:2
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.

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