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

This is VAERS ID 1050476



Case Details

VAERS ID: 1050476 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Utah  
Vaccinated:2020-12-30
Onset:2021-02-08
   Days after vaccination:40
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 - / IM

Administered by: Work       Purchased by: ?
Symptoms: Cytogenetic analysis normal, Exposure during pregnancy, Foetal death
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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Genetic testing of fetus was normal male, with no significant genetic issues
CDC Split Type:

Write-up: Fetal demise at gestational age 14 weeks. Exact age when patient received first dose of COVID-19 vaccine. Patient had suffered from hyperemesis prior to vaccine, but had improved prior to vaccine. No other complications in pregnancy estimated date of delivery was July 14, 2021


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