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

This is VAERS ID 1450449



Case Details

VAERS ID: 1450449 (history)  
Form: Version 2.0  
Age: 39.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-05-26
Onset:2021-06-25
   Days after vaccination:30
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood loss anaemia, Exposure during pregnancy, Foetal non-stress test, Full blood count, Gestational diabetes, Haemorrhage in pregnancy, Metabolic function test, Pre-eclampsia, Protein urine, Ultrasound antenatal screen, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Proteinuria (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Protonix 20mg once daily, Prenatal Vitamin once daily, vitamin D 400iu daily, aspirin 81mg daily, tums 750mg chewable 2 tabs as needed for heartburn, acetaminophen 650mg every 6 hours as needed.
Current Illness: none
Preexisting Conditions: none
Allergies: zithromax
Diagnostic Lab Data: 24 hour urine, CBC, CMP, blood pressure monitoring, ultrasound, fetal non stress test weekly
CDC Split Type:

Write-up: Estimated delivery date of August 5th, 2021. Currently 35 weeks. Development of preeclampsia, gestational diabetes at 34 weeks. 2 episodes of heavy vaginal bleeding during pregnancy, one at 30 weeks (just after 2nd dose of moderna vaccine) and one at 34 weeks. Currently being monitored for worsening preeclampsia with plans to deliver at 37 weeks (July 15, 2021) if stable. Gestational diabetes managed with diet and exercise at this time. Bleeding resolved within 2 or 3 days. Developed anemia after second bleeding episode.


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