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This is VAERS ID 893940

History of Changes from the VAERS Wayback Machine

First Appeared on 12/10/2020

VAERS ID: 893940
VAERS Form:2
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-10-30
Onset:2020-10-31
Submitted:0000-00-00
Entered:2020-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gestational diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt is a G1P0, recently diagnosed with gestational diabetes. Gestational age 30 weeks. Intrauterine fetal demise occurred around 24-36 hours after vaccination.


Changed on 12/24/2020

VAERS ID: 893940 Before After
VAERS Form:2
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-10-30
Onset:2020-10-31
Submitted:0000-00-00
Entered:2020-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gestational diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt is a G1P0, recently diagnosed with gestational diabetes. Gestational age 30 weeks. Intrauterine fetal demise occurred around 24-36 hours after vaccination.


Changed on 12/30/2020

VAERS ID: 893940 Before After
VAERS Form:2
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-10-30
Onset:2020-10-31
Submitted:0000-00-00
Entered:2020-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gestational diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt is a G1P0, recently diagnosed with gestational diabetes. Gestational age 30 weeks. Intrauterine fetal demise occurred around 24-36 hours after vaccination.


Changed on 5/7/2021

VAERS ID: 893940 Before After
VAERS Form:2
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:2020-10-30
Onset:2020-10-31
Submitted:0000-00-00
Entered:2020-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS - / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Foetal death, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Gestational diabetes
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt is a G1P0, recently diagnosed with gestational diabetes. Gestational age 30 weeks. Intrauterine fetal demise occurred around 24-36 hours after vaccination.

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