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From the 12/31/2003 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 33376

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Case Details

VAERS ID: 33376 (history)  
Form: Version .0  
Age: 18.0  
Sex: Female  
Location: Georgia  
   Days after vaccination:142
Submitted: 0000-00-00
Entered: 1991-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 2370R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: ABORTION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Diagnostic Lab Data: No relevant data
CDC Split Type:

Write-up: Pt recvd vax on 07MAR90.On approximately 25JUL90 pt miscarried & reported to MD was 5 1/2 months pregnant.

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