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This is VAERS ID 31736

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31736
VAERS Form:
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: ABORTION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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':

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;


Changed on 12/8/2009

VAERS ID: 31736 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-27 1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / 0 - / -
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 0 - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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': (blank) 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;


Changed on 5/14/2017

VAERS ID: 31736 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 9/14/2017

VAERS ID: 31736 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 2/14/2018

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 6/14/2018

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 8/14/2018

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 9/14/2018

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 10/14/2018

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 12/24/2020

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 12/30/2020

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 5/7/2021

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;


Changed on 5/21/2021

VAERS ID: 31736 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:1991-01-04
Onset:1991-02-06
Submitted:1991-06-21
Entered:1991-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Abortion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Birth Control Pills
Current Illness:
Preexisting Conditions:
Allergies:
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;

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