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

This is VAERS ID 1030540



Case Details

VAERS ID: 1030540 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Rhode Island  
Vaccinated:2021-01-14
Onset:2021-02-10
   Days after vaccination:27
Submitted: 0000-00-00
Entered: 2021-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3246 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Exposure during pregnancy, Stillbirth, Vanishing twin syndrome
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? Yes
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal Vitamins, Docusate 100mg, Famotidine 20mg, 81mg Aspirin
Current Illness: Viral URI one month prior
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Still pending
CDC Split Type:

Write-up: Event - 22 week stillbirth Pregnancy history - G2P1001, EDD 6/13/2021, h/o twin gestation with 1st trimester vanishing twin. Otherwise uncomplicated.


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