VAERS ID: 2327616

AGE: 36| SEX: F|STATE: MA (United States)

Description

Vaccine 12/17/21 Frozen embryo transfer 1/7/22 with positive pregnancy test on 1/16/22 3/22 discovered at 12.5 weeks pregnant that baby has anencephaly with no known cause

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Symptoms

Foetal disorder, Pregnancy, Pregnancy test positive, Ultrasound antenatal screen abnormal, Maternal exposure before pregnancy, In vitro fertilisation

Vaccines

VAX DATE: 12-17-2021| ONSET DATE: 03-01-2022| DAYS TO ONSET: 74
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA 078J21A IM AR

RECVDATE:06-22-2022
RPT_DATE:
CAGE_YR:36
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Anencephaly confirmed
V_ADMINBY:
OTHER_MEDS:Prenatal vitamins
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-22-2022
BIRTH_DEFECT:Y
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Allergy to solumedrol, shellfish
V_FUNDBY:

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