Adverse Event Reporting

VAERS ID	1686951
Gender	Female
Age
StateCode	FR
Pharmaceutical Company	PFIZER\BIONTECH
Lot Number	FE7051
Number of vaccinations	1
Vaccinated	2021-07-29
Onset	2021-08-12
Condition

Symptoms

• Abortion spontaneous

Current Illness

Preexisting Conditions

Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Miscarriage; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB, regulatory authority number FR-AFSSAPS-PO20214484.
This is a maternal report.
A 19-year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administered in the arm (left/right arm) on 29Jul2021 (Batch/Lot Number: FE7051) as DOSE 1, 0.
3 ML SINGLE for covid-19 immunisation.
The patient concomitant medications were not reported.
The patient had no history of COVID19.
No medical history.
Date of last menstrual period 05Jun2021.
The patient received the vaccine at 7 pregnancy week and 5 days.
On 12Aug2021, at 9 pregnancy week + 6 day, the patient experienced miscarriage.
The event was assessed as serious (medically significant).
The pregnancy resulted in spontaneous abortion.
The fetal outcome is neonatal death.
The outcome of the event was not recovered.
No follow-up attempts are possible, no information is expected.