National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/12/2021 release of VAERS data:

This is VAERS ID 31736

Government Disclaimer on use of this data

Case Details

VAERS ID: 31736 (history)  
Form: Version 1.0  
Age: 29.0  
Sex: Female  
Location: New Jersey  
   Days after vaccination:33
Submitted: 1991-06-21
   Days after onset:134
Entered: 1991-06-24
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abortion
SMQs:, Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound showed normal fetal growth & gestation; ON 1FEB91 second ultrasound, a vaginal probe, approximated gestation @ 7 1/2wks, During 7 1/2wks had 3HCG levels drawn, showing 3mo pregnant; Molar & twin pregnancies r/o;
CDC Split Type: WAES91010946

Write-up: @ time of vax pt was approx 2wk pregnant; On 6FEB91 had an abrupt abortion & hemoglobin dropped to 6 w/in 3hrs; D&E was performed, & the pathology report showed normal fetal tissue;

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166