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From the 11/19/2021 release of VAERS data:

This is VAERS ID 27485

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Case Details

VAERS ID: 27485 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: New York  
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted: 1991-01-11
Entered: 1991-01-18
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Public
Symptoms: Abortion
SMQs:, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Pregnancy 2wks
Preexisting Conditions: Pt has hx of twins in family could explain possible early blighted gestation.
Allergies:
Diagnostic Lab Data: Pelvic Sonogram indicated abnormal gestation prob at 5-6wks.
CDC Split Type:

Write-up: Pt vaccinated w/MMR not aware that she was 2 wks pregnant. Subsequent sonogram showed a subchorionic bleed or residual of blighted gestation. Fetus died at 9 1/2 - 10 wks.


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