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From the 1/14/2022 release of VAERS data:

This is VAERS ID 40268

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Case Details

VAERS ID: 40268 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Female  
Location: Kansas  
Vaccinated:1991-02-22
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Public       Purchased by: Other
Symptoms: Abdominal pain, Abortion, Influenza, Stillbirth, Vaginal haemorrhage
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Termination of pregnancy and risk of abortion (narrow), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 26APR91 Sonogram-fetal demise;
CDC Split Type: WAES91031249

Write-up: Pt recvd 1st dose Hep B vax 22FEB91 & subsequent to vax pt noted to be pregnant; pt recvd meds for flu-like sx; 25APR91 exp small amount of vaginal bleeding & low abd pain; 26APR91 sonogram revealed fetal demise; 27APR91 to ER some clotting


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