National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1030540

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1030540
VAERS Form:2
Age:35.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-01-14
Onset:2021-02-10
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: Stillbirth, Vanishing twin syndrome, 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)? Yes
Hospitalized? Yes, days: 1     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.


Changed on 5/7/2021

VAERS ID: 1030540 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-01-14
Onset:2021-02-10
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: Stillbirth, Vanishing twin syndrome, 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)? Yes
Hospitalized? Yes, days: 1     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 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.


Changed on 5/14/2021

VAERS ID: 1030540 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-01-14
Onset:2021-02-10
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: Stillbirth, Vanishing twin syndrome, 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)? Yes
Hospitalized? Yes, days: 1     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 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.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1030540&WAYBACKHISTORY=ON


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