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This is VAERS ID 1161743

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1161743
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4240 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Foetal death, Foetal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ILPFIZER INC2021347056

Write-up: IUFD; IUFD; This is a spontaneous report received from a contactable other healthcare professional (HCP). Regulatory report number is not provided. This other hcp reported information for both mother and fetus. This is the fetus report. Only this case is serious. A fetus patient of an unspecified gender received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Solution for injection, Lot Number: EK4240, expiry date not reported) dose 1, transplacental on an unspecified date at a single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient''s mother is a 39-year old female who was at risk pregnancy because of twins. On an unspecified date, the patient experienced IUFD (intrauterine fetal death), which was reported as serious with criteria as hospitalization as the patient''s mother was hospitalized on unknown dates with diagnosis as IUFD, and as medically significant. Event description was provided as IUFD of one of the fetuses (time range of events was reported as 11 days). The patient died on an unspecified date. The cause of death was IUFD. It was unknown if an autopsy was performed. No follow-up attempts possible. No further information expected.; Sender''s Comments: Linked Report(s) : IL-PFIZER INC-2021349377 Maternal report; Reported Cause(s) of Death: IUFD; IUFD

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