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This is VAERS ID 1433054

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1433054
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Foetal death

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Pregnancy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEPFIZER INC2021699309

Write-up: Intra-uterine death; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority BE-FAMHP-DHH-N2021-95109. This is a maternal report. A female patient of an unspecified age received bnt162b2 (COMIRNATY), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. Medical history included pregnancy. The patient''s concomitant medications were not reported. The patient experienced unborn child died intra-uterine on an unspecified date. The mother reported she became pregnant while taking bnt162b2. The mother was 35 weeks pregnant at the onset of the event. The fetal outcome is intrauterine death. The outcome of the event was unknown.

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