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This is VAERS ID 1050476

History of Changes from the VAERS Wayback Machine

First Appeared on 2/26/2021

VAERS ID: 1050476
VAERS Form:2
Age:31.0
Sex:Female
Location:Utah
Vaccinated:2020-12-30
Onset:2021-02-08
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: Foetal death, Cytogenetic analysis normal, 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? Yes, days: 1     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


Changed on 5/7/2021

VAERS ID: 1050476 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Utah
Vaccinated:2020-12-30
Onset:2021-02-08
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: Foetal death, Cytogenetic analysis normal, 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? Yes, days: 1     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


Changed on 5/14/2021

VAERS ID: 1050476 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Utah
Vaccinated:2020-12-30
Onset:2021-02-08
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: Foetal death, Cytogenetic analysis normal, 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? Yes, days: 1     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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1050476&WAYBACKHISTORY=ON

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