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

This is VAERS ID 1078165



Case Details

VAERS ID: 1078165 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-01-21
Onset:2021-01-25
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Caesarean section, Exposure during pregnancy, Foetal distress syndrome, Hypertension, Pre-eclampsia, Premature delivery, Protein urine present, Proteinuria
SMQs:, Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Chronic kidney disease (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, baby aspirin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Blood pressure high and urine test showed proteins in urine. 1/25/21
CDC Split Type:

Write-up: At routine 38 week doctor appointment, had high blood pressure. Upon re-check, it was still high and also had protein in the urine. Diagnosed with pre-eclampsia despite never having issues with high blood pressure and none of the associated risk factors. Went straight to labor and delivery and upon monitoring, baby was in distress. Heart rate did come back up; she was born that evening by c-section. Original due date was February 5, 2021 (birth date was January 25). Birth weight was 5 lbs 12 oz.


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