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This is VAERS ID 918034

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 918034
VAERS Form:2
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-23
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Premature delivery, Stillbirth, Ultrasound Doppler, Foetal heart rate abnormal, Ultrasound foetal, Foetal death, Foetal hypokinesia, 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Advair, Pulmocort, levothyroxine, pepcid, prenatal vitamins, singulair, aspirin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data: Fetal doppler and fetal ultrasound on 12/26/2020
CDC 'Split Type':

Write-up: I was 28 weeks and 5 days pregnant when I received the first dose of the COVID19 vaccine. Two days later (12/25/2020 in the afternoon), I noticed decreased motion of the baby. The baby was found to not have a heartbeat in the early am on 12/26/2020 and I delivered a 2lb 7oz nonviable female fetus at 29 weeks gestation. I was 35 years old at the time of the fetal demise and the only pregnancy history for this pregnancy included a velamentous cord insertion that was being closely monitored by a high risk OB. My estimated due was March 12, 2021.


Changed on 5/7/2021

VAERS ID: 918034 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-23
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Premature delivery, Stillbirth, Ultrasound Doppler, Foetal heart rate abnormal, Ultrasound foetal, Foetal death, Foetal hypokinesia, 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Advair, Pulmocort, levothyroxine, pepcid, prenatal vitamins, singulair, aspirin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None None
Diagnostic Lab Data: Fetal doppler and fetal ultrasound on 12/26/2020
CDC 'Split Type':

Write-up: I was 28 weeks and 5 days pregnant when I received the first dose of the COVID19 vaccine. Two days later (12/25/2020 in the afternoon), I noticed decreased motion of the baby. The baby was found to not have a heartbeat in the early am on 12/26/2020 and I delivered a 2lb 7oz nonviable female fetus at 29 weeks gestation. I was 35 years old at the time of the fetal demise and the only pregnancy history for this pregnancy included a velamentous cord insertion that was being closely monitored by a high risk OB. My estimated due was March 12, 2021.


Changed on 5/14/2021

VAERS ID: 918034 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Michigan
Vaccinated:2020-12-23
Onset:2020-12-25
Submitted:0000-00-00
Entered:2021-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Premature delivery, Stillbirth, Ultrasound Doppler, Foetal heart rate abnormal, Ultrasound foetal, Foetal death, Foetal hypokinesia, 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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Advair, Pulmocort, levothyroxine, pepcid, prenatal vitamins, singulair, aspirin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None None
Diagnostic Lab Data: Fetal doppler and fetal ultrasound on 12/26/2020
CDC 'Split Type':

Write-up: I was 28 weeks and 5 days pregnant when I received the first dose of the COVID19 vaccine. Two days later (12/25/2020 in the afternoon), I noticed decreased motion of the baby. The baby was found to not have a heartbeat in the early am on 12/26/2020 and I delivered a 2lb 7oz nonviable female fetus at 29 weeks gestation. I was 35 years old at the time of the fetal demise and the only pregnancy history for this pregnancy included a velamentous cord insertion that was being closely monitored by a high risk OB. My estimated due was March 12, 2021.

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