Report #2844687

Received Jun 12, 2025

Hospitalized

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Female
Age: 20 yrs
State: VA
Recovered: Unknown
Vaccinated: Oct 21, 2021
Onset: Oct 30, 2021
Days to onset: 9
Hospital days: 3

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	019F21A	IM / AR
FLU3	INFLUENZA (SEASONAL) (FLULAVAL)	GLAXOSMITHKLINE BIOLOGICALS	N/A	95TH9	SYR / RA

Symptoms (7)

Biopsy placentaBlood testCaesarean sectionExposure during pregnancyPremature deliveryPremature labourPreterm premature rupture of membranes

Symptom narrative

Prior to the vaccinations my pregnancy was normal including a normal ultrasound 2 weeks prior. I received both the Covid and flu vaccine on 10/21/2021 and began going into labor in the middle of the night on 10/29/2021 into 10/30/2021. On 10/30/2021 I ended up having Preterm Premature Rupture of Memebranes and delivering my son via emergency c-section at 10:23 AM on 10/30/2021 at 26 weeks 3 days gestation. My due date wasn?t until 2/2/2022. My son was 2lbs 8oz at birth and passed away at 6:15 on 10/30/2021 due to his underdeveloped lungs from preterm birth.

Current illness

Medical history

PCOS

Other medications

Nature Made Prenatal

Allergies

Lab data

While in the hospital between 10/30/2021 and 11/1/2021 various bloodwork and vitals were done in addition to the c-section. I also had an autopsy performed on my son which showed premature lungs. My placental study showed normal male genes of the baby and no other issue.