National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 39123

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 39123
VAERS Form:
Age:34.2
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / 1 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type':

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 12/8/2009

VAERS ID: 39123 Before After
VAERS Form:
Age:34.2
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-02-18 1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / 1 - / -
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': (blank) WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 2/14/2017

VAERS ID: 39123 Before After
VAERS Form:
Age:34.2 34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 5/14/2017

VAERS ID: 39123 Before After
VAERS Form:
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 9/14/2017

VAERS ID: 39123 Before After
VAERS Form:(blank) 1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 1 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 2/14/2018

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 6/14/2018

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 8/14/2018

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 9/14/2018

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 10/14/2018

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 12/24/2020

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 12/30/2020

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 5/7/2021

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;


Changed on 5/21/2021

VAERS ID: 39123 Before After
VAERS Form:1
Age:34.0
Sex:Female
Location:Florida
Vaccinated:1991-05-02
Onset:1991-05-22
Submitted:0000-00-00
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / 2 - / -

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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 21MAY91 Preganancy tests-pos
CDC 'Split Type': WAES91051377

Write-up: Pt recvd booster dose of measles vax 02MAY91 & on 21MAY91 had a pos preg test; LMP 11APR91; On 22MAY91 pt spontaneously aborted; pt felt miscarriage was a direct result of vax;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=39123&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166