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This is VAERS ID 33515

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33515
VAERS Form:
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / 1 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type':

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 12/8/2009

VAERS ID: 33515 Before After
VAERS Form:
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-08-13 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': (blank) WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 5/14/2017

VAERS ID: 33515 Before After
VAERS Form:
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 9/14/2017

VAERS ID: 33515 Before After
VAERS Form:(blank) 1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 2/14/2018

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 6/14/2018

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 8/14/2018

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 9/14/2018

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 10/14/2018

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 12/24/2020

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 12/30/2020

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 5/7/2021

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;


Changed on 5/14/2021

VAERS ID: 33515 Before After
VAERS Form:1
Age:32.0
Sex:Female
Location:North Dakota
Vaccinated:1990-09-17
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: 18OCT90 Pregnancy tests-positive; 22OCT90 pathology report-endometrium degenerative change
CDC 'Split Type': WAES90100987

Write-up: Pt recvd 2nd dose of MMR vax 17SEP90; 18OCT90 lab eval revealed pos preg test; 20OCT90 exp heavy bleeding; Pathology report small tissue sample on 22OCT90 revealed decidual tissue & endometrium; Dx intrauterine preg w/spontaneous abortion;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=33515&WAYBACKHISTORY=ON


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