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This is VAERS ID 1340339

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1340339
VAERS Form:2
Age:
Sex:Unknown
Location:Massachusetts
Vaccinated:2021-04-18
Onset:2021-03-28
Submitted:0000-00-00
Entered:2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0164 / 2 LA / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Ultrasound scan, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-23
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ESTRACE; PROGESTERONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210426; Test Name: ultrasound; Result Unstructured Data: Test Result:baby stopped growing 5 days after shot; Test Date: 20210506; Test Name: ultrasound; Result Unstructured Data: Test Result:baby stopped growing 5 days after shot
CDC 'Split Type': USPFIZER INC2021512724

Write-up: Baby stopped growing 5 days after shot, confirmed with ultrasounds on 4/26 and 5/6; Maternal exposure during pregnancy, first trimester; This is a spontaneous report from a contactable consumer (fetus''s mother). This consumer reported information for both mother and fetus. This is the fetus report. A patient (fetus) mother (35-years-old ) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 18Apr2021 09:15 (Batch/Lot Number: EW0164) at the age of 35-years-old as single dose, dose 1 via an unspecified route of administration, administered in Arm Left on 28Mar2021 15:00 (Batch/Lot Number: Er8732) at the age of 35-years-old as single dose for covid-19 immunisation. Route of the administration for fetus was provided as Transplacental. The patient''s mother medical history was not reported. The patient''s mother''s concomitant medication included estradiol (ESTRACE) taken for an unspecified indication, start and stop date were not reported; progesterone taken for an unspecified indication, start and stop date were not reported. The patient''s mother did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The baby experienced maternal exposure during pregnancy, first trimester from 28Mar2021 15:00. On 23Apr2021, 14:00, the mother experienced miscarriage, the baby stopped growing 5 days after shot 23Apr2021 14:00, confirmed with ultrasounds 26Apr2021 and 06May2021, the event resulted in doctor or other healthcare professional office/clinic visit, there was no treatment for event. Mother''s Last menstrual date was 10Mar2021. The outcome of the events was fatal.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021509131 mother case; Reported Cause(s) of Death: Baby stopped growing 5 days after shot, confirmed with ultrasounds on 4/26 and 5/6; Maternal exposure during pregnancy, first trimester

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