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From the 3/5/2021 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 1059748



Case Details

VAERS ID: 1059748 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-01-22
Onset:2021-02-08
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9263 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Exposure during pregnancy, Premature delivery, Premature labour
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Pre-natal Vitamin, Tylenol, Rhinocort nasal spray
Current Illness:
Preexisting Conditions:
Allergies: KNA/KNDA
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: I went into preterm labor at 20 weeks, 3 days on and delivered a live pre-term baby boy who died shortly thereafter. He weighed 11 oz. My estimated delivery date was to be 06/25/2021. This was my second pregnancy, and I had not had my 20 week ultrasound yet. There is no known cause of why I experienced pre-term labor and an autopsy was not performed on my son. My first pregnancy was uneventful and I delivered at full-term.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210305&IDNUMBER=1059748

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