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This is VAERS ID 33376

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33376
VAERS Form:
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
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 (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
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.


Changed on 12/8/2009

VAERS ID: 33376 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-08-08 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 2370R / - - / -

Administered by: Unknown      Purchased by: Unknown
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90080532

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


Changed on 5/14/2017

VAERS ID: 33376 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / - - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 9/14/2017

VAERS ID: 33376 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / - UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 2/14/2018

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 6/14/2018

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 8/14/2018

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 9/14/2018

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 10/14/2018

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 12/24/2020

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 12/30/2020

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 5/7/2021

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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


Changed on 5/14/2021

VAERS ID: 33376 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Georgia
Vaccinated:1990-03-07
Onset:1990-07-27
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2370R / UNK - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No relevant hx.
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90080532

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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