VAERS ID: 2327616

AGE: 36| SEX: F|STATE: MA

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

Symptoms

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

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:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:Anencephaly confirmed
V_ADMINBY:
OTHER_MEDS:Prenatal vitamins
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
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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