National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 1422388

Government Disclaimer on use of this data



Case Details

VAERS ID: 1422388 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:2021-03-06
Onset:2021-03-06
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Laboratory test, Macrocephaly, Maternal exposure during pregnancy, PTEN gene mutation, Stillbirth
SMQs:, Congenital, familial and genetic disorders (narrow), 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? Yes
Died? Yes
   Date died: 2021-06-12
   Days after onset: 97
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: biochemical tests; Result Unstructured Data: Test Result:PTEN Hamartoma tumor syndrome; Test Name: DNA tests; Result Unstructured Data: Test Result:PTEN Hamartoma tumor syndrome
CDC Split Type: ILPFIZER INC2021720556

Write-up: A genetic disease diagnosed by biochemical tests or DNA tests: PTEN Hamartoma tumor syndrome; Structural malformation: Macrocephaly; had a stillbirth on Saturday 12Jun2021, this is the 33rd week of pregnancy; a woman aged 35 had a stillbirth on Saturday 12Jun2021, this is the 33rd week of pregnancy; This is a spontaneous report from a contactable consumer (parent). This consumer reported information for both mother and fetus. This is a fetus report. A fetus patient mother (35-year-old) received bnt162b2 second single dose on 06Mar2021 (Batch/Lot number was not reported) for covid-19 immunisation at age of 35-year-old. The patient''s mother medical history and concomitant medications were not reported. The mother was vaccinated on 06Mar2021 with the second dose of the corona vaccine. She had a stillbirth on Saturday 12Jun2021, this was the 33rd week of pregnancy. A genetic disease diagnosed by biochemical tests or DNA tests: PTEN Hamartoma tumor syndrome and structural malformation was macrocephaly. It was not reported if an autopsy was performed. Information on the lot/batch number has been requested.; Sender''s Comments: Linked Report(s) : IL-PFIZER INC-2021720247 mother/fetus case; Reported Cause(s) of Death: a woman aged 35 had a stillbirth on Saturday 12Jun2021, this is the 33rd week of pregnancy; had a stillbirth on Saturday 12Jun2021, this is the 33rd week of pregnancy; A genetic disease diagnosed by biochemical tests or DNA tests: PTEN Hamartoma tumo


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1422388


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166