Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Glucose tolerance test, Human chorionic gonadotropin, Maternal exposure during pregnancy, Pregnancy test
Clinical narrative: Receive vaccine while pregnant; This spontaneous prospective pregnancy case was reported by a physician assistant and describes the occurrence of MATERNAL EXPOSURE DURING PREGNANCY (Receive vaccine while pregnant) in a 32-year-old female patient (gravida 2) who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 025J20-2A and 029L20A) for COVID-19 vaccination.     The patient's past medical history included Alcohol use (1 drink /month) on 01-Mar-2021 and Spontaneous abortion (Blighted ovum diagnosed at 10 weeks) on 10-Jul-2020. Previously administered products included for an unreported indication: MARIJUANA (5mg edible every 1-2 times per year) until 01-Mar-2021. Concurrent medical conditions included Asthma (Abuterol inhaler PRN for exacerbation only). Concomitant products included MINERALS NOS, VITAMINS NOS (PRENATAL VITAMINS [MINERALS NOS;VITAMINS NOS]) for an unknown indication.   On 10-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. The patient's last menstrual period was on 22-Aug-2020 and the estimated date of delivery was 29-May-2021. On 10-Jan-2021, the patient experienced MATERNAL EXPOSURE DURING PREGNANCY (Receive vaccine while pregnant). The patient received mRNA-1273 (Moderna COVID-19 Vaccine) beginning around the  twentieth week of the pregnancy. The delivery occurred on an unknown date, which was reported as Unknown. For neonate 1, The outcome was reported as Unknown. On 10-Jan-2021, MATERNAL EXPOSURE DURING PREGNANCY (Receive vaccine while pregnant) had resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 13-Sep-2020, Pregnancy test: positive (Positive) Positive. On 20-Nov-2020, Blood test: other (abnormal) The risk of Down syndrome is less than the screeningcut-off. (Maternal Serum Screen- PAPP-A and NT test). On 20-Nov-2020, Human chorionic gonadotropin: other (abnormal) The risk of Down syndrome is less than the screeningcut-off. On 08-Jan-2021, Ultrasound scan: normal (normal) Fetal anatomy scan is normal (OB complete single or first gestation ultrasound). On 22-Feb-2021, Glucose tolerance test: 93 (normal) No evidence of gestational diabetes. (Gestational Diabetes Screening test).     For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments.   The patient had no maternal history of subfertility. The number of fetuses was reported as 1 and had established prenatal care. There was no complications or acute illness during this pregnancy to date.   Most recent FOLLOW-UP information incorporated above includes: On 16-Apr-2021: Live follow up received on 16-Apr-2021: Added HCP contact information, patient's medical historical conditions, current pregnancy details, laboratory tests, second dose information. The action taken changed (from unknown to not applicable).