|
VAERS ID: |
1080733 (history) |
Form: |
Version 2.0 |
Age: |
38.0 |
Sex: |
Female |
Location: |
Florida |
Vaccinated: |
2021-01-16 |
Onset: |
2021-03-01 |
Days after vaccination: |
44 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-08 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EN3218 / 1 |
- / SYR |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
EN5318 / 2 |
- / SYR |
Administered by: Pharmacy Purchased by: ? Symptoms: Ectopic pregnancy, Ectopic pregnancy termination, Exposure during pregnancy, Human chorionic gonadotropin, Ultrasound antenatal screen abnormal SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: ^hydroqu6%/retino0.025% gel (bud) fluconazole vitamin B complex Current Illness: nothing noted or reported Preexisting Conditions: na Allergies: nkda Diagnostic Lab Data: hcg levels, ultrasound, CDC Split Type: Write-up: pt had ectopic pregnancy dx on 3/4/21, seen in er and surgery performed on 3/6/21 |
|
VAERS ID: |
1130864 (history) |
Form: |
Version 2.0 |
Age: |
38.0 |
Sex: |
Female |
Location: |
California |
Vaccinated: |
2021-03-05 |
Onset: |
2021-03-20 |
Days after vaccination: |
15 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-24 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / 1 |
LA / IM |
Administered by: Pharmacy Purchased by: ? Symptoms: Anaemia, Ectopic pregnancy, Exposure during pregnancy, Fallopian tube operation, Haematosalpinx, Haemoglobin decreased, Laparoscopic surgery, Malaise, Transfusion SMQs:, Haematopoietic erythropenia (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Life Threatening? Yes Birth Defect? Yes Died? No Permanent Disability? No Recovered? No Office Visit? No ER Visit? No ER or Doctor Visit? Yes Hospitalized? Yes, 3 days Extended hospital stay? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: CDC Split Type: Write-up: I have had one pregnancy in 2016. I am reporting an ectopic pregnancy. My Fallopian tube burst. I was unaware of being pregnant at the time of the vaccine injection. I became extremely ill and was losing blood. I had undergone laparoscopic removal of the left Fallopian tube and lost 2ltrs. Of blood therefore receiving transfusions. I suffered anemia and left the hospital with a hemoglobin level of 8.1. |
|
VAERS ID: |
1143606 (history) |
Form: |
Version 2.0 |
Age: |
28.0 |
Sex: |
Female |
Location: |
Florida |
Vaccinated: |
2020-12-17 |
Onset: |
2021-03-18 |
Days after vaccination: |
91 |
Submitted: |
0000-00-00 |
Entered: |
2021-03-29 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
LA / IM |
Administered by: Work Purchased by: ? Symptoms: Ectopic pregnancy, Exposure during pregnancy, Haemorrhage, Human chorionic gonadotropin, Muscle spasms, Pregnancy test positive, Thrombosis, Ultrasound scan SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Dystonia (broad), Thrombophlebitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Gardasil- difficulty breathing Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 3/15/21 3/17/21 bhcg, and ultrasound 3/18/21. surgery performed on 3/18/21. CDC Split Type: Write-up: positive pregnancy test on 3/11/21. symptoms started before 3/11/21, pt started to bleeding before 3/18/21. pt is sonographer she had an idea of ectopic pregnancy, pt went in for bhg for first quant on 3/15/21 and again on 3/17/21. bleeding increased on 3/18/21 passing clots and cramping. quants decreased, pt came to office for ov to assess us preformed and pt then sent to er for eval. determined to have ectopic pregnancy. |
|
VAERS ID: |
1178242 (history) |
Form: |
Version 2.0 |
Age: |
31.0 |
Sex: |
Female |
Location: |
Illinois |
Vaccinated: |
2021-03-04 |
Onset: |
2021-03-04 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-04-07 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
010A21A / 1 |
- / OT |
Administered by: Unknown Purchased by: ? Symptoms: Abortion of ectopic pregnancy, Exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Subfertility (Treated since 2018) Preexisting Conditions: Medical History/Concurrent Conditions: Hypospadias; Pregnancy (one) Allergies: Diagnostic Lab Data: CDC Split Type: USMODERNATX, INC.MOD20210 Write-up: This spontaneous retrospective pregnancy case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ABORTION OF ECTOPIC PREGNANCY (Miscarriage) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 010A21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. The patient''s past medical history included Hypospadias on 15-Jun-2019 and Pregnancy (one). Concurrent medical conditions included Subfertility (Treated since 2018). On 04-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient''s last menstrual period was on 22-Jan-2021 and the estimated date of delivery was 29-Oct-2021. On 04-Mar-2021, the patient experienced EXPOSURE DURING PREGNANCY (pregnancy). On 05-Mar-2021, the patient experienced ABORTION OF ECTOPIC PREGNANCY (Miscarriage) (seriousness criterion medically significant). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the fifth week of the pregnancy. The delivery occurred on an unknown date. For neonate 1, The outcome was reported as Ectopic pregnancy. On 04-Mar-2021, EXPOSURE DURING PREGNANCY (pregnancy) had resolved. At the time of the report, ABORTION OF ECTOPIC PREGNANCY (Miscarriage) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. This is a case of product exposure during pregnancy with abortion ectopic pregnancy for this 31-year-old female. Patient will continue to be contacted for further monitoring of AEs post abortion.; Sender''s Comments: This is a case of product exposure during pregnancy with abortion ectopic pregnancy for this 31-year-old female. Patient will continue to be contacted for further monitoring of AEs post abortion. |
|
VAERS ID: |
1208632 (history) |
Form: |
Version 2.0 |
Age: |
33.0 |
Sex: |
Female |
Location: |
Georgia |
Vaccinated: |
2021-01-04 |
Onset: |
2021-01-15 |
Days after vaccination: |
11 |
Submitted: |
0000-00-00 |
Entered: |
2021-04-14 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
011J20A / 1 |
RA / IM |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
042L20A / 2 |
LA / IM |
Administered by: Military Purchased by: ? Symptoms: Abdominal pain, Ectopic pregnancy, Ectopic pregnancy termination, Emotional distress, Full blood count, Haemorrhage in pregnancy, Human chorionic gonadotropin, Injury, Liver function test, Maternal exposure before pregnancy, Metabolic function test, Pain, Ultrasound pelvis SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Life Threatening? Yes Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Prenatal vitamin Vitamin D Vitamin C Biotin Iron supplement Progesterone only birth control pills Synthroid Current Illness: None Preexisting Conditions: Hypothyroidism Allergies: NKDA Diagnostic Lab Data: HCG quants Pelvic ultrasound CBC/CMP LFT CDC Split Type: Write-up: Received first Moderna vaccine on 1/4/2021 Continued taking daily consumption of OCP No illness, infection or ABX use during this time LMP 1/15/2021 Positive HPT on 2/14/2021 Experienced episodes of early vaginal bleeding in pregnancy on x2 separate occurrences, primary care and OBGYN notified ABD pain and cramping present Monitored with hcg levels every 2 days and pelvic ultrasounds Confirmed right ectopic pregnancy 3/4/2021 Diagnosed with a non-viable pregnancy Treatment to end ectopic pregnancy with methotrexate required (other option was surgical management and I declined) Pain/trauma and emotional distress occurred Still being followed with weekly blood draws related to ectopic and methotrexate use |
|
VAERS ID: |
1329590 (history) |
Form: |
Version 2.0 |
Age: |
30.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: |
2021-03-23 |
Onset: |
2021-05-04 |
Days after vaccination: |
42 |
Submitted: |
0000-00-00 |
Entered: |
2021-05-19 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / UNK |
- / - |
Administered by: Other Purchased by: ? Symptoms: Ectopic pregnancy 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? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? Yes, ? days Extended hospital stay? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: USPFIZER INC2021542837 Write-up: ectopic pregnancy; This is a spontaneous report from a contactable consumer (patient). A 30-years-old female patient (not pregnant at the vaccination) received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 23Mar2021 (Batch/Lot number was not reported) as UNKNOWN, SINGLE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient previously took biaxin and experienced allergies. It was reported the Pfizer covid shot caused the patient to have an ectopic pregnancy. She ovulated the day before her shot while trying to get pregnant and just found out due to the shot she had an ectopic pregnancy on 04May2021. Event resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization, Life threatening illness (immediate risk of death from the event). No treatment received. Since the vaccination, the patient has not been tested for COVID-19. The outcome was recovering. Information on batch number has been requested |
|
VAERS ID: |
1341980 (history) |
Form: |
Version 2.0 |
Age: |
19.0 |
Sex: |
Female |
Location: |
Washington |
Vaccinated: |
2021-04-07 |
Onset: |
2021-04-13 |
Days after vaccination: |
6 |
Submitted: |
0000-00-00 |
Entered: |
2021-05-23 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
020B21A / UNK |
LA / SYR |
Administered by: Unknown Purchased by: ? Symptoms: Blood test, Ectopic pregnancy with contraceptive device, Human chorionic gonadotropin positive, Impaired work ability, Menstrual disorder, Pregnancy test positive, Ultrasound antenatal screen abnormal SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? Yes Hospitalized? No Previous Vaccinations: Other Medications: Adderall, multivitamin, allergy medicine Current Illness: none Preexisting Conditions: none Allergies: none Diagnostic Lab Data: HCG tests 4/13/21: 162 4/16/21: 190 4/19/21: 219 4/23/21: 245 4/26/21: 212 4/29/21: 163 5/3/21: 164 5/4/21: 184 5/11/21: 28 5/17/21:13 CDC Split Type: Write-up: Started out as regular period but continued to bleed well after normal cycle end. Got the first COVID shot in the middle of normal period cycle. April 12, 2021; Before seeking medical treatment/ advice, took a pregency test, it was positive. Went to ER, as IUD was still in place. Blood tests were done as well as ultrasounds. Eptopic pregnency, failure of IUD. Removal of IUD, 3 Methotrexate shots later. HAd to take 3 weeks off of work. |
|
VAERS ID: |
1365462 (history) |
Form: |
Version 2.0 |
Age: |
32.0 |
Sex: |
Female |
Location: |
Washington |
Vaccinated: |
2021-04-08 |
Onset: |
2021-04-12 |
Days after vaccination: |
4 |
Submitted: |
0000-00-00 |
Entered: |
2021-06-01 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN |
1808982 / N/A |
LA / SYR |
Administered by: Pharmacy Purchased by: ? Symptoms: Abortion spontaneous, Blood test, Dysmenorrhoea, Ectopic pregnancy, Heavy menstrual bleeding, Menstrual disorder, Ovarian mass, Ultrasound scan vagina abnormal SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? No Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? Yes, 1 days Extended hospital stay? No Previous Vaccinations: Other Medications: Prenatal vitamins; Vit D; Cranberry; Fish Oil; probiotics Current Illness: no Preexisting Conditions: no Allergies: no Diagnostic Lab Data: Hospital - I went in May 20th - Blood tests only to start. They were trying to determine how far along I was in miscarriage''s. May 28th - transvaginal ultrasound - mass on my ovary - ectopic pregnancy Admitted Sunday May 30th - four or five hours - not overnight CDC Split Type: vsafe Write-up: I got pregnant in May and thought I was miscarrying shortly after I took the survey. My period was a lot heavier than normal - my cramping went on for two weeks and more. I had clotting and heavy bleeding - first time clotting. More blood and heavier bleeding then I had ever experienced. It was an Ectopic pregnancy. I just got treatment yesterday so it will be awhile before I''m recovered. I was seeing midwives or OB/GYNs. |
|
VAERS ID: |
1366916 (history) |
Form: |
Version 2.0 |
Age: |
|
Sex: |
Female |
Location: |
Unknown |
Vaccinated: |
0000-00-00 |
Onset: |
0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
2021-06-02 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
- / OT |
Administered by: Unknown Purchased by: ? Symptoms: Ectopic pregnancy, Exposure during pregnancy SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? No ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: USMODERNATX, INC.MOD20211 Write-up: Ectopic pregnancy; Exposure during pregnancy; This spontaneous case was reported by a consumer and describes the occurrence of ECTOPIC PREGNANCY (Ectopic pregnancy) in a female patient of an unknown age who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On an unknown date, the patient received dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, the patient experienced ECTOPIC PREGNANCY (Ectopic pregnancy) (seriousness criterion medically significant) and EXPOSURE DURING PREGNANCY (Exposure during pregnancy). At the time of the report, ECTOPIC PREGNANCY (Ectopic pregnancy) outcome was unknown and EXPOSURE DURING PREGNANCY (Exposure during pregnancy) had resolved. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Patient reported that she was not pregnant at the time of this report. Relevant concomitant medications were not reported. Treatment medication was not provided. Company comment: This report refers to a case of exposure during pregnancy for mRNA-1273 (lot # unknown) with associated AE reported of ectopic pregnancy. Very limited information regarding these events has been provided at this time. Further information has been requested.; Sender''s Comments: This report refers to a case of exposure during pregnancy for mRNA-1273 (lot # unknown) with associated AE reported of ectopic pregnancy. Very limited information regarding these events has been provided at this time. Further information has been requested. |
|
VAERS ID: |
1399457 (history) |
Form: |
Version 2.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
Virginia |
Vaccinated: |
2021-04-22 |
Onset: |
2021-04-22 |
Days after vaccination: |
0 |
Submitted: |
0000-00-00 |
Entered: |
2021-06-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
- / UNK |
LA / IM |
Administered by: Public Purchased by: ? Symptoms: Arthralgia, Ectopic pregnancy, Exposure during pregnancy, Pain, Pyrexia, Rash macular SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad) Life Threatening? No Birth Defect? No Died? No Permanent Disability? No Recovered? Yes Office Visit? Yes ER Visit? No ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: Prenatal Vitamin Current Illness: None Preexisting Conditions: None Allergies: None Diagnostic Lab Data: Dates HcG levels check to confirm ectopic pregnancy: 4/26: 209 4/28: 219 4/30: 283 5/3: 380 5/5: 483 5/7: 557 - Methotrexate administered 5/11: 640 5/14: 512 5/21: 222 5/28: 52 6/4: 4 CDC Split Type: Write-up: High fever $g102.5 Extreme joint pain Body aches Blotchy skin rash on abdomen, neck, and face Pregnancy confirmed 4 days after vaccine reaction, implantation would have possible occurred during the time of the vaccine reaction. Pregnancy was determined to be ectopic - in right fallopian tube. Concerned the severe vaccine reaction was the reason for improper embryo implantation. |
|