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This is VAERS ID 1468187

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1468187
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:2021-05-25
Onset:2021-05-25
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC0681 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Generalised oedema, Ultrasound foetal, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-17
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:
Allergies:
Diagnostic Lab Data: Test Date: 20210416; Test Name: Ultrasound; Result Unstructured Data: Test Result:growth preserved; Comments: a single right umbilical artery and a pelvis of the left kidney at the upper limit 6 mm; Test Date: 20210422; Test Name: Ultrasound; Result Unstructured Data: Test Result:no morphological anomaly; Comments: the single umbilical artery, the Left pelvis is measured between 3.4 and 4.4 mm, there is no morphological anomaly
CDC 'Split Type': FRPFIZER INC2021843042

Write-up: Anasarca; She was vaccinated on 25May2021 at 28 week of pregnancy.; This is a spontaneous report from a contactable physician. This is the report downloaded from the Regulatory Authority FR-AFSSAPS-MA20212455. Safety Report Unique Identifier FR-AFSSAPS-2021081867. This physician reported information for both mother and fetus. This is the fetus report. A fetus patient of an unspecified gender received bnt162b2 (COMIRNATY), dose 1 transplacental on 25May2021 (Batch/Lot Number: FC0681) as dose 1, single for covid-19 immunisation. No medical history and concomitant medications were reported. The fetus mother (33 years old), initially overweight, had her first pregnancy with live birth of healthy, eutrophic, full term child in 2018. She has psoriasis without chronic treatment. There was vomiting of pregnancy in early pregnancy. Monitoring in the city. Ultrasound of 22 amenorrhea weeks+ 3 days on 16Apr2021, growth preserved, a single right umbilical artery and a pelvis of the left kidney at the upper limit 6 mm, the control from 22Apr2021 confirms the single umbilical artery, the Left pelvis is measured between 3.4 and 4.4 mm. No morphological anomalies. The mother was vaccinated on 25May2021 at 28 amenorrhea weeks. Itchy erythematous macular rash was noted, with prescription of levocetirizine dihydrochloride (XYZALL) 5 and betamethasone dipropionate (DIPROSONE), no precise date of this rash. Diagnosis of an in-utero death in 29 amenorrhea week 17Jun2021. Non-contributory antiphospholipid test result. Serology of Parvovirus, Herpes old immunity, negative chickenpox. Delivery on 19Jun2021 of a female fetus weighing 2120 g and presenting anasarca of the cephalic pole and of the abdomen with the impression of a short cord. Fetal autopsy in progress. The outcome of event ''anasarca'' was fatal.; Sender''s Comments: Linked Report(s) : FR-PFIZER INC-2021868323 mother''s case; Reported Cause(s) of Death: Anasarca

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