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This is VAERS ID 27485

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27485
VAERS Form:
Age:22.7
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: ABORTION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.


Changed on 12/8/2009

VAERS ID: 27485 Before After
VAERS Form:
Age:22.7
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-23 1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Public
Symptoms: Abortion, ABORTION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.


Changed on 2/14/2017

VAERS ID: 27485 Before After
VAERS Form:
Age:22.7 22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.


Changed on 5/14/2017

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

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 27485 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 12/24/2020

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 12/30/2020

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/7/2021

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/14/2021

VAERS ID: 27485 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:New York
Vaccinated:1990-10-25
Onset:0000-00-00
Submitted:1991-01-11
Entered:1991-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Public
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=27485&WAYBACKHISTORY=ON


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