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This is VAERS ID 1524852

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/6/2021

VAERS ID: 1524852
VAERS Form:2
Age:
Sex:Female
Location:North Dakota
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-08-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Premature delivery, Premature separation of placenta, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20212

Write-up: placenta separate after the vaccine (unconfirmed vaccine); baby was delivered at 32 weeks; pregnancy; This spontaneous retrospective pregnancy case was reported by an other health care professional and describes the occurrence of PREMATURE SEPARATION OF PLACENTA (placenta separate after the vaccine (unconfirmed vaccine)), PREMATURE DELIVERY (baby was delivered at 32 weeks) and MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. Last menstrual period and estimated date of delivery were not provided. On an unknown date, the patient experienced PREMATURE SEPARATION OF PLACENTA (placenta separate after the vaccine (unconfirmed vaccine)) (seriousness criteria hospitalization and medically significant), PREMATURE DELIVERY (baby was delivered at 32 weeks) (seriousness criterion hospitalization) and MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) (seriousness criterion hospitalization). The delivery occurred on an unknown date, which was reported as Premature. For neonate 1, The outcome was reported as Pre-Term Birth NOS. At the time of the report, PREMATURE SEPARATION OF PLACENTA (placenta separate after the vaccine (unconfirmed vaccine)), PREMATURE DELIVERY (baby was delivered at 32 weeks) and MATERNAL EXPOSURE DURING PREGNANCY (pregnancy) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown), the reporter did not provide any causality assessments. No concomitant medication provided. No treatment information mentioned. This is a case of product exposure during pregnancy with associated AEs. Very limited information regarding this event/s has been provided at this time. Further information has been requested.; Sender''s Comments: This is a case of product exposure during pregnancy with associated AEs. Very limited information regarding this event/s has been provided at this time. Further information has been requested.

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