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This is VAERS ID 39711

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 39711
VAERS Form:
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 577A4 / - - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 12/8/2009

VAERS ID: 39711 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-03-02 1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 577A4 / - - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 5/14/2017

VAERS ID: 39711 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / - - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 9/14/2017

VAERS ID: 39711 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / - UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 2/14/2018

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 6/14/2018

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 8/14/2018

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 9/14/2018

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 10/14/2018

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 12/24/2020

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 12/30/2020

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 5/7/2021

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;


Changed on 5/21/2021

VAERS ID: 39711 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:1991-05-22
Submitted:1992-02-25
Entered:1992-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 577A4 / UNK - / -

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: Thyroxin
Current Illness:
Preexisting Conditions: pt had last menstrual period on 27MAR91 & was then found to be pregnant; expected delivery 31DEC91; pt taking Thyroxine @ time of vax;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW928007

Write-up: On 27MAY91 p/receiving a dose of vax pt miscarried;

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