| VAERS ID: |
25541 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-07-18 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Vaginal haemorrhage SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBWWMA011001
Write-up: Pregnant, miscarriage. Approximately the same time patient received 1st dose of vaccine, she became pregnant. 2-1/2 weeks later suffered a miscarriage. |
|
| VAERS ID: |
25651 (history)
|
| Form: |
Version 1.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-08-10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBWWMA011074
Write-up: Voluntary pregnancy termination, Pregnant unplanned /p 2nd & 3rd dose. Terminated both pregnancys at 10 wks & 9 wks. Blighted ovum DX. |
|
| VAERS ID: |
25687 (history)
|
| Form: |
Version 1.0 |
| Age: |
42.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1990-02-09 |
| Onset: | 1990-04-01 |
| Days after vaccination: | 51 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-08-21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Abortion,
Bronchitis,
Cough,
Dry skin,
Menorrhagia,
Pharyngitis,
Pruritus,
Rash,
Rash maculo-papular SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal infections (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 20NOV89 blood test negative for pregnancy. 21MAR90 urine test positive for pregnancy. CDC Split Type: EBU900293
Write-up: Pt vax w/ 3rd dose Engerix-B and experienced menstrual flow increase, also seen for coughs & colds. 21MAR90, dx = pregnancy; had D&C 18APR90 for miscarriage of 3 mo pregnancy. |
|
| VAERS ID: |
25806 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1989-10-02 |
| Onset: | 1989-11-13 |
| Days after vaccination: | 42 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-08-29 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Menstrual disorder,
Vaginal haemorrhage SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: given Proluton injections to support pregnancy Current Illness: Preexisting Conditions: Pt previously "had trouble in becoming pregnant" Allergies: Diagnostic Lab Data: Ultrasound showed viable twins Jan90. CDC Split Type: EBWWMA010318
Write-up: Pt experienced miscarriage @ 6wks pregnant. F-up Pt received 3rd dose of Engerix-B 2Oct89, was pregant /w twins. Began to bleed 13 Nov89,1Dec89 & 16Jan90. Thought to have lost pregancy in Dec89 due to bleeding, Delivered twins 15Jun90 |
|
| VAERS ID: |
25838 (history)
|
| Form: |
Version 1.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 1990-05-29 |
| Onset: | 1990-07-16 |
| Days after vaccination: | 48 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-09-04 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
1014S / UNK |
- / SC |
Administered by: Private Purchased by: Unknown Symptoms: Abortion,
Amenorrhoea SMQs:, Termination of pregnancy and risk of abortion (narrow), Fertility disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Having menses when vaccinated for measles 29MAY90; Missed next period 26JUN90; Miscarried 16JUL90 |
|
| VAERS ID: |
25908 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 1989-12-04 |
| Onset: | 1990-02-22 |
| Days after vaccination: | 80 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-09-11 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
799 / UNK |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBWWMA010621
Write-up: Pt vaccinated to Engerix B suffered a miscarriage on 22FEB90 when 6 weeks pregnant. No hospitallization required. Reporting physician does not know if the event is related to the admin of the vax. |
|
| VAERS ID: |
27006 (history)
|
| Form: |
Version 1.0 |
| Age: |
18.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 1989-08-21 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1990-12-10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Pregnancy test OCT89 Positive CDC Split Type: WAES89110132
Write-up: Pt vaccinated w/Meruvax II one & one-half months following the vaccination, a preganancy test was positive; pt subsequently aborted the pregnancy. |
|
| VAERS ID: |
27485 (history)
|
| Form: |
Version 1.0 |
| Age: |
22.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 1990-10-25 |
| Onset: | 0000-00-00 |
| Submitted: |
1991-01-11 |
| Entered: |
1991-01-18 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Public Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
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: Current Illness: Pregnancy 2wks Preexisting Conditions: Pt has hx of twins in family could explain possible early blighted gestation. Allergies: Diagnostic Lab Data: Pelvic Sonogram indicated abnormal gestation prob at 5-6wks. CDC Split Type:
Write-up: Pt vaccinated w/MMR not aware that she was 2 wks pregnant. Subsequent sonogram showed a subchorionic bleed or residual of blighted gestation. Fetus died at 9 1/2 - 10 wks. |
|
| VAERS ID: |
29438 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1990-05-01 |
| Onset: | 1990-08-01 |
| Days after vaccination: | 92 |
| Submitted: |
0000-00-00 |
| Entered: |
1991-03-29 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Stillbirth SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: unknown Current Illness: Preexisting Conditions: no relevant hx Allergies: Diagnostic Lab Data: none CDC Split Type: WAES91030785
Write-up: 29 Pregnant female was vax /w MMR May90. In Aug90, fetal death was Dx. Pt hospitalized & underwent D&C. Pathology rpt revealed that gestational age of baby approx 12 wks @ time of death |
|
| VAERS ID: |
31736 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 1991-01-04 |
| Onset: | 1991-02-06 |
| Days after vaccination: | 33 |
| Submitted: |
1991-06-21 |
| Days after onset: | 135 |
| Entered: |
1991-06-24 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Birth Control Pills Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Ultrasound showed normal fetal growth & gestation; ON 1FEB91 second ultrasound, a vaginal probe, approximated gestation @ 7 1/2wks, During 7 1/2wks had 3HCG levels drawn, showing 3mo pregnant; Molar & twin pregnancies r/o; CDC Split Type: WAES91010946
Write-up: @ time of vax pt was approx 2wk pregnant; On 6FEB91 had an abrupt abortion & hemoglobin dropped to 6 w/in 3hrs; D&E was performed, & the pathology report showed normal fetal tissue; |
|
| VAERS ID: |
33376 (history)
|
| Form: |
Version 1.0 |
| Age: |
18.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 1990-03-07 |
| Onset: | 1990-07-27 |
| Days after vaccination: | 142 |
| 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 SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? 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. |
|
| VAERS ID: |
33515 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
North Dakota |
| Vaccinated: | 1990-09-17 |
| Onset: | 1990-10-18 |
| Days after vaccination: | 31 |
| 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 SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? 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; |
|
| VAERS ID: |
33909 (history)
|
| Form: |
Version 1.0 |
| Age: |
38.0 |
| Sex: |
Female |
| Location: |
Kansas |
| Vaccinated: | 1989-08-08 |
| Onset: | 1989-09-09 |
| Days after vaccination: | 32 |
| Submitted: |
1991-08-15 |
| Days after onset: | 705 |
| Entered: |
1991-08-19 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
RA / - |
Administered by: Private Purchased by: Unknown Symptoms: Abortion,
Amblyopia,
Amnesia,
Arthralgia,
Chest pain,
Myalgia,
Paraesthesia,
Pyrexia SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Termination of pregnancy and risk of abortion (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? Yes Previous Vaccinations: UNK~ ()~~~In patient Other Medications: Pain pills Current Illness: pregnant Preexisting Conditions: rxn to ATB Allergies: Diagnostic Lab Data: alot CDC Split Type:
Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times; |
|
| VAERS ID: |
34368 (history)
|
| Form: |
Version 1.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1991-05-08 |
| Onset: | 1991-07-24 |
| Days after vaccination: | 77 |
| Submitted: |
1991-08-19 |
| Days after onset: | 26 |
| Entered: |
1991-08-29 |
| Days after submission: | 10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
653A4 / 3 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: 2 doses of vax given 24SEP90 & 23OCT90; Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: CDC Split Type: EBW918042
Write-up: Pt recvd 3 doses of Engerix-B on 24SEP90, 23OCT90, & 08MAY91, respectively; On 25JUN91 pregnancy test was performed which was positive; Last Menstrual period was 17APR91; On 24JUL91 pt miscarried; |
|
| VAERS ID: |
37251 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1990-05-16 |
| Onset: | 1990-08-03 |
| Days after vaccination: | 79 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-06-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: chromosomal analysis-nl 23AUG90; Autopsy showed that fetus was thoroughly infarcted & that the death of fetus occured in utero days prior to extraction; CDC Split Type: WAES90060502
Write-up: Pt recvd vax 16MAY90 & was found to be pregnant w/a conception date on or about the date of vax; LMP 1MAY90; on 3AUG90 spontaneously aborted approx 12-13 gestation; autopsy showed that fetus was thoroughly infarcted; |
|
| VAERS ID: |
37252 (history)
|
| Form: |
Version 1.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 1990-07-11 |
| Onset: | 1990-08-23 |
| Days after vaccination: | 43 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-06-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
1227S / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 2JUL90 pregnancy tests-pos; CDC Split Type: WAES90070152
Write-up: pt recvd MMR vax 11JUN90 & lab eval on 2JUL90 revealed a pos preg test; 23AUG90 pt underwent a therapeutic abortion; no further details were provided; |
|
| VAERS ID: |
37254 (history)
|
| Form: |
Version 1.0 |
| Age: |
19.0 |
| Sex: |
Female |
| Location: |
Delaware |
| Vaccinated: | 1990-06-01 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-06-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: pregnancy tests-pos; CDC Split Type: WAES90070483
Write-up: pt recvd MMR vax JUN90 & following vax became pregnant subsequently, underwent a therapeutic abortion; no further details were provided; |
|
| VAERS ID: |
37260 (history)
|
| Form: |
Version 1.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 1991-02-28 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-06-09 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES91040535
Write-up: pt recvd MMR vax 28FEB91 & on approx 7MAR91 pt noted to be pregnant; subsequently, the pregnancy was terminated; no further details were provided; |
|
| VAERS ID: |
38136 (history)
|
| Form: |
Version 1.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1990-11-04 |
| Onset: | 1991-01-01 |
| Days after vaccination: | 58 |
| Submitted: |
1991-12-23 |
| Days after onset: | 356 |
| Entered: |
1991-12-26 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
203A4 / 3 |
- / IM |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBW918084
Write-up: On 19JAN91 pt exp spontaneous abortion, 78 days p/recving 3rd dose; reporter indicated relationship as unlikely; pt 10 weeks pregnant (last menstrual period 20NOV91); pt had no previous miscarriages; pt had 3 live births 1981, 1983 & 1985; |
|
| VAERS ID: |
38137 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1990-11-07 |
| Onset: | 1990-12-01 |
| Days after vaccination: | 24 |
| Submitted: |
1991-12-23 |
| Days after onset: | 387 |
| Entered: |
1991-12-26 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
203A4 / 3 |
- / IM |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBW918083
Write-up: Pt exp a spontaneous abortion 23DEC90, 46 days p/recving 3rd dose of vax; reporter indicated relationship as unlikely; pt was 10 weeks pregnant (last menstrual period appr 15OCT90); this was pt's 1st pregnancy; |
|
| VAERS ID: |
39093 (history)
|
| Form: |
Version 1.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 0000-00-00 |
| Onset: | 1990-05-01 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-01-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES90050802
Write-up: Pt recvd measles vax during 1st wk of pregnancy; In MAY90 pt underwent a therapeutic abortion; no further details were provided; |
|
| VAERS ID: |
39105 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-01-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: UNK Current Illness: Preexisting Conditions: No relevant hx Allergies: Diagnostic Lab Data: Pregnancy tests-pos; CDC Split Type: WAES91021251
Write-up: Pt was vaxed w/measles vax & 2 wks later pt was noted to be pregnant; subsequently pt underwent a therapeutic abortion; No further details were provided; |
|
| VAERS ID: |
39111 (history)
|
| Form: |
Version 1.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 1991-01-11 |
| Onset: | 1991-03-01 |
| Days after vaccination: | 49 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-01-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
1234S / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: No relevant hx Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES91040496
Write-up: Pt recvd measles vax on 11JAN91 & on 19MAR91 pt had a pos pregnancy test; LMP 20FEB91; pt exp some spotting which resolved & quantitative HCG levels cont to rise; On 12APR91 pt pregnancy was terminated; |
|
| VAERS ID: |
39120 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1991-03-26 |
| Onset: | 1991-06-26 |
| Days after vaccination: | 92 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-01-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Amoxicillin Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES91050943
Write-up: Pt recvd measles vax 26MAR91 & it was later discovered that pt was pregnant; LMP 5APR91; On 26JUN91 pt spontaneously aborted; |
|
| VAERS ID: |
39123 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 1991-05-02 |
| Onset: | 1991-05-22 |
| Days after vaccination: | 20 |
| 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 SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? 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; |
|
| VAERS ID: |
39134 (history)
|
| Form: |
Version 1.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1991-07-12 |
| Onset: | 1991-09-16 |
| Days after vaccination: | 66 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-01-16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Vitamins, prenatal, Calcium Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES91081260
Write-up: Pt recvd measles vax 12JUL91 then discovered was pregnant w/3rd child; LMP 13JUL91; On 16SEP91 spontaneously aborted; |
|
| VAERS ID: |
39628 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1992-02-14 |
| Entered: |
1992-02-24 |
| Days after submission: | 10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Stillbirth SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU920377
Write-up: Pt recvd Engerix-B & delivered a stillbirth child; |
|
| VAERS ID: |
39711 (history)
|
| Form: |
Version 1.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 1991-05-22 |
| Submitted: |
1992-02-25 |
| Days after onset: | 280 |
| Entered: |
1992-02-27 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
577A4 / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? 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; |
|
| VAERS ID: |
39712 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 1990-12-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1992-02-25 |
| Entered: |
1992-02-27 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / 3 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Drug ineffective SMQs:, Lack of efficacy/effect (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp miscarriage p/vax w/Engerix-B 2nd dose;~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Pt remained negative for anti-HBS post vax number 3; CDC Split Type: EBW928008
Write-up: Pt recvd 1st dose of vax 5OCT90, uneventfully; pt recvd 2nd dose on 2NOV90 & 2-3 days later pt exp a miscarriage; In DEC90 2-3 days p/receiving the 3rd dose exp another miscarriage; Pt has no sequela; vax course has been discontinued; |
|
| 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 |
|
| VAERS ID: |
40511 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1991-11-13 |
| Onset: | 1992-03-18 |
| Days after vaccination: | 126 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-03-23 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: hx of irregular menstrual cycles; Allergies: Diagnostic Lab Data: 26NOV91 Ultrasound-confirmed 5 1/2 wk fetus; JAN91 Ultrasound-grossly abn fetus; CDC Split Type: CO4137
Write-up: Pt underwent termination of pregnancy; LMP 30SEP91, sl PV bleeding on 10NOV91; Recvd vax on 13NOV91; ultrasound confirmed 5 1/2 wk fetus on 26NOV91; JAN92 ultrasound showed "grossly abn fetus; preg terminated 4FEB92; |
|
| VAERS ID: |
44888 (history)
|
| Form: |
Version 1.0 |
| Age: |
23.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 0000-00-00 |
| Onset: | 1992-08-01 |
| Submitted: |
1992-09-09 |
| Days after onset: | 39 |
| Entered: |
1992-09-11 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES92080953
Write-up: Pt recvd MMR vax approx 6 wks prior to conception; apprxo 20 wks gestation pt exp spontaneous abortion w/death in utero; addtl details are being requested; |
|
| VAERS ID: |
45216 (history)
|
| Form: |
Version 1.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 1992-06-09 |
| Onset: | 1992-07-19 |
| Days after vaccination: | 40 |
| Submitted: |
1992-09-16 |
| Days after onset: | 59 |
| Entered: |
1992-09-18 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Arthralgia,
Asthenia,
Chills,
Serum sickness SMQs:, Guillain-Barre syndrome (broad), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: allergy PNC; allergy ASA; allergy sulfa; Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES92080816
Write-up: Pt recvd 1st dose of Hep B vax 9JUN92 & shortly thereafter was found to be pregnant; 19JUL92 pt devel a serum sickness-like illness characterized w/chills, joint pain, & extreme fatigue; @ 7th wk of pregnancy pt had miscarriage; |
|
| VAERS ID: |
46452 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1992-10-26 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (FOREIGN) / MERCK & CO. INC. |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 0000-00-00
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: UNK Current Illness: Preexisting Conditions: no relevant history Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES92020097
Write-up: Pt recvd Hep B vax & subsequently found to be 4 wks pregnant; pt had a missed abortion @ 12 wks gestation; No additional info is expected; |
|
| VAERS ID: |
46735 (history)
|
| Form: |
Version 1.0 |
| Age: |
36.0 |
| Sex: |
Female |
| Location: |
Massachusetts |
| Vaccinated: | 1992-06-09 |
| Onset: | 1992-07-25 |
| Days after vaccination: | 46 |
| Submitted: |
1992-10-29 |
| Days after onset: | 96 |
| Entered: |
1992-11-06 |
| Days after submission: | 8 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
893A4 / 1 |
- / IM A |
Administered by: Private Purchased by: Private Symptoms: Abortion,
Arthralgia,
Asthenia,
Chills,
Myalgia,
Red blood cell sedimentation rate increased SMQs:, Rhabdomyolysis/myopathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Termination of pregnancy and risk of abortion (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Noninfectious myocarditis/pericarditis (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: UNK Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 31JUL92 lab test results: ANA=negative: Rheumatoid factor=neg; sl inc in EOS; sed rate=88; CDC Split Type: EBU922669
Write-up: 9JUN92 recvd 1st dose of Engerix-B; pt was pregnant p/1st dose & did not recvd 2nd dose of Engerix-B; 19JUL92 presented to clinic w/ c/o arthralgia, myalgia, profound fatigue & chills; seen by nurse; 25JUL92 spontaneously aborted pregnancy; |
|
| VAERS ID: |
50314 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1993-02-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: UNK Current Illness: Preexisting Conditions: no relevant hx Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES93025046
Write-up: pt recvd vax prior to splenectomy & was found to be 1-2 wks pregnant; pt underwent a termination of pregnancy; no further details were provided; |
|
| VAERS ID: |
50906 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Delaware |
| Vaccinated: | 1992-10-26 |
| Onset: | 1992-10-30 |
| Days after vaccination: | 4 |
| Submitted: |
1993-03-17 |
| Days after onset: | 137 |
| Entered: |
1993-03-19 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 1 |
- / IM |
Administered by: Other Purchased by: Private Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
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: APAP & tums; Current Illness: Preexisting Conditions: abortion Allergies: Diagnostic Lab Data: 30OCT92 pregnancy tests pos; 8DEC92 Ultrasound fetus blighted; CDC Split Type: WAES92101231
Write-up: pt recvd vax on 26OCT92 & lab eval 30OCT92 revealed pos pregnancy test; Ultrasound on 8DEC92 revealed that fetus was not viable due to a blighted ovum; dilation & evacuation was performed on 15DEC92; pt recovered; |
|
| VAERS ID: |
52596 (history)
|
| Form: |
Version 1.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 1992-11-25 |
| Onset: | 0000-00-00 |
| Submitted: |
1993-05-10 |
| Entered: |
1993-05-14 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / 2 |
- / IM A |
Administered by: Private Purchased by: Private Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU930753
Write-up: pt recvd vax & exp miscarriage sometime p/2nd dose of vax; pt was seen by a MD; no further details are available @ this time; |
|
| VAERS ID: |
52829 (history)
|
| Form: |
Version 1.0 |
| Age: |
37.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1993-03-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Amenorrhoea SMQs:, Termination of pregnancy and risk of abortion (narrow), Fertility disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 6NOV92 Uring HCG neg; CDC Split Type: WAES92110740
Write-up: Pt recvd vax & has not had menstrual period; A urine HCG on 6NOV92 was neg; No further details were provided; |
|
| VAERS ID: |
53682 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1993-06-08 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: urine or blood pregnancy test pos 18FEB93 nl; CDC Split Type: ENG7584
Write-up: 27JAN93 pt recvd vax; 18FEB93 pos pregnancy test was performed; 16MAR93 an ELD&C was carried out due to blighted ovum; |
|
| VAERS ID: |
53808 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 1993-02-17 |
| Onset: | 1993-03-11 |
| Days after vaccination: | 22 |
| Submitted: |
1993-03-25 |
| Days after onset: | 14 |
| Entered: |
1993-06-09 |
| Days after submission: | 76 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH |
0669H / 3 |
MO / PO |
Administered by: Public Purchased by: Public Symptoms: Abortion,
Coagulopathy,
Infection,
Influenza,
Pyrexia,
Renal failure,
Sepsis,
Shock SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Anaphylactic reaction (narrow), Haemorrhage laboratory terms (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Termination of pregnancy and risk of abortion (narrow), Hypotonic-hyporesponsive episode (broad), Chronic kidney disease (narrow), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Sepsis (narrow), Opportunistic infections (broad)
Life Threatening? Yes
Birth Defect? No
Died? Yes
Date died: 1993-03-17
Days after onset: 6
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
Extended hospital stay? No Previous Vaccinations: NONE~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: allergy: PCN; splenectomy 1972 due to trauma; Allergies: Diagnostic Lab Data: cultures & florescent antigens neg; CDC Split Type: PA93013
Write-up: 11MAR93 w/fever, cough, flu-like sx; seen by MD collapsed & taken to hosp; presented typical septic process of meningococcal, pneumococcal or H. flu; was 5 wks pregnant spontaneously aborted; went into renal failure; COD DIC; |
|
| VAERS ID: |
53954 (history)
|
| Form: |
Version 1.0 |
| Age: |
26.0 |
| Sex: |
Female |
| Location: |
Nevada |
| Vaccinated: | 1992-11-10 |
| Onset: | 1992-11-21 |
| Days after vaccination: | 11 |
| Submitted: |
1993-04-21 |
| Days after onset: | 150 |
| Entered: |
1993-06-14 |
| Days after submission: | 54 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1255V / 2 |
LA / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
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: Thyroid med (synthroid) Current Illness: low thyroid Preexisting Conditions: hayfever & low thyroid Allergies: Diagnostic Lab Data: CDC Split Type: NV93020
Write-up: miscarriage 21NOV92 pt was 2-3 wks along @ tim eof immun; 2nd Recombivax 10NOV92 1st immun was 30SEp92 & thought the 2 inject may have caused th miscarriage; |
|
| VAERS ID: |
54926 (history)
|
| Form: |
Version 1.0 |
| Age: |
39.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1991-02-11 |
| Onset: | 1991-02-11 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
1993-07-30 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Arthritis,
Condition aggravated,
Malaise,
Myasthenic syndrome,
Osteoarthritis,
Somnolence SMQs:, Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related conditions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Termination of pregnancy and risk of abortion (narrow), Arthritis (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp soreness in rt elbow joint, elbow joints were painful & soreness-bursitis~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CT scan bone mild lateral epicondylitis of humerus; CT scan bone poss mild rt olecranon; CT scan bone bursitis; CT scan bone minor arthritis changes in rt wrists; CT scan bone mild arhtritic change in rt wrists; CDC Split Type: ENG2415
Write-up: pt recvd 3rd dose of vax 11FEB91 & pt had lt elbow burning & painful; the following morning both arms were very sore; wrists, fingers, ankle & big toe were also affected; lt shoulder blade were feeling very tired sleeping through day; |
|
| VAERS ID: |
55064 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1992-08-01 |
| Onset: | 1992-08-01 |
| Days after vaccination: | 0 |
| Submitted: |
1993-08-03 |
| Days after onset: | 366 |
| Entered: |
1993-08-05 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 1 |
- / IM |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Valium; Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES92100048
Write-up: pt recvd vax AUG92 & pt noted that was pregnant; pt elected to have a therapeutic abortion & recovered from the exp; |
|
| VAERS ID: |
55771 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1993-09-02 |
| Entered: |
1993-09-07 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: UNK Current Illness: Preexisting Conditions: splenectomy Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES92105039
Write-up: Pt was vaxed during 3rd wk of pregnancy. On 11NOV92 pt had the pregnancy terminated, reason not reported; addtl info was not provided; |
|
| VAERS ID: |
56118 (history)
|
| Form: |
Version 1.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1990-09-24 |
| Onset: | 1991-07-25 |
| Days after vaccination: | 304 |
| Submitted: |
0000-00-00 |
| Entered: |
1993-09-17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 930017151
Write-up: pt recvd 3 doses of Engerix-B between 24SEP90- 8MAY92; a pregnancy test performed on 26JUN91 was pos; 25JUL91 pt suffered a spontaneous abortion; |
|
| VAERS ID: |
56376 (history)
|
| Form: |
Version 1.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1993-09-30 |
| Entered: |
1993-10-04 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: No relevant data; CDC Split Type: WAES92081028
Write-up: pt recvd vax during 4th wk of pregnancy; f/u info revealed that pt underwent an elective abortion; No further details were provided; |
|
| VAERS ID: |
57728 (history)
|
| Form: |
Version 1.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 1993-05-13 |
| Onset: | 0000-00-00 |
| Submitted: |
1993-11-05 |
| Entered: |
1993-11-26 |
| Days after submission: | 21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
1507V / UNK |
LA / SC |
Administered by: Private Purchased by: Private Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
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: Current Illness: NONE Preexisting Conditions: spontaneous abortion 1992; hypertensive 162/96, 4MAY93 & 156/90 7MAY93; Allergies: Diagnostic Lab Data: 4MAY93 mumps virus IGG AB (EIA) <0.80 (non-immune); Rubeola virus IGG AB (EIA) <0.80 (non-immune); CDC Split Type:
Write-up: pt was about 5 wks pregnant p/having recvd vax; consulted OB/GYN & was advised to not take the measles booster until p/delivery; had elevated BP of 162/96 @ time of hire; had spontaneous miscarriage 20OCT93; |
|
| VAERS ID: |
58299 (history)
|
| Form: |
Version 1.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1993-05-27 |
| Onset: | 1993-09-15 |
| Days after vaccination: | 111 |
| Submitted: |
1993-12-13 |
| Days after onset: | 89 |
| Entered: |
1993-12-20 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 930050711
Write-up: pt recvd vax & had a miscarriage @ 16/17 wks pregnancy; post-mortem of the foetus revealed no abnormality; The reporting MD did not think the adverse event had anything to do w/vax; |
|
| VAERS ID: |
59810 (history)
|
| Form: |
Version 1.0 |
| Age: |
16.0 |
| Sex: |
Female |
| Location: |
Kentucky |
| Vaccinated: | 1993-10-14 |
| Onset: | 1993-10-23 |
| Days after vaccination: | 9 |
| Submitted: |
1994-02-09 |
| Days after onset: | 109 |
| Entered: |
1994-02-14 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
1143W / 2 |
- / IM |
| OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / UNK |
- / - |
| TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Menstrual disturbance Current Illness: Preexisting Conditions: No relevant history Allergies: Diagnostic Lab Data: pregnancy test 28OCT93 pos; CDC Split Type: WAES93110070
Write-up: Pt recvd vax & 28OCT93 a pregnancy test was pos; pt elected to terminate pregnancy during the wk of 23OCT93; |
|
| VAERS ID: |
61522 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1993-09-10 |
| Onset: | 1993-10-23 |
| Days after vaccination: | 43 |
| Submitted: |
1994-03-25 |
| Days after onset: | 153 |
| Entered: |
1994-04-04 |
| Days after submission: | 10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Exam of foetus 9OCT93 no movements; CDC Split Type: 940023791
Write-up: Pt recvd vax & showed no movements of foetus; 23OCT93 exp a miscarriage & was hospitalized; Reporting MD considered the event to be possibly related to the vax; |
|
| VAERS ID: |
61524 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 1993-11-26 |
| Onset: | 1994-01-01 |
| Days after vaccination: | 36 |
| Submitted: |
1994-03-29 |
| Days after onset: | 87 |
| Entered: |
1994-04-04 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Vitamins; Current Illness: Preexisting Conditions: abortion, spontaneous Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES93120060
Write-up: Pt recvd vax & became pregnant; @ 12 wks gestation pt had a spontaneous abortion; |
|
| VAERS ID: |
62060 (history)
|
| Form: |
Version 1.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Connecticut |
| Vaccinated: | 1993-04-02 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-04-20 |
| Entered: |
1994-04-25 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Infertility; Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES93060801
Write-up: Pt recvd vax & was found to be pregnant; exp a miscarriage; MD did not consider this event out of the ordinary for this pt; |
|
| VAERS ID: |
62209 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Washington |
| Vaccinated: | 1993-10-01 |
| Onset: | 1993-12-01 |
| Days after vaccination: | 61 |
| Submitted: |
1994-04-11 |
| Days after onset: | 131 |
| Entered: |
1994-05-02 |
| Days after submission: | 21 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH |
4938137 / UNK |
- / IM |
Administered by: Private Purchased by: Private Symptoms: Drug ineffective,
Foetal disorder,
Infection,
Influenza,
Stillbirth SMQs:, Lack of efficacy/effect (narrow), Foetal disorders (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? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: unk Current Illness: NONE Preexisting Conditions: Allergies: Diagnostic Lab Data: Examination of placenta revealed white cell (lymphocytic) infiltration, but no bacteria could be cultured; CDC Split Type: 894103003A
Write-up: This eight-month gestational age fetus, whose mom was given flu vax in OCT93, died due to viremia in DEC93 coincident w/the mother developing a severe influenza infection; |
|
| VAERS ID: |
62212 (history)
|
| Form: |
Version 1.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
Texas |
| Vaccinated: | 1994-03-23 |
| Onset: | 1994-04-11 |
| Days after vaccination: | 19 |
| Submitted: |
1994-04-25 |
| Days after onset: | 14 |
| Entered: |
1994-05-02 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES94040483
Write-up: pt recvd vax 23MAR93; 11APR94 in pt's seventh month of pregnancy, pt had a misccarriage; addtl details are being requested; |
|
| VAERS ID: |
63074 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Unknown |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1994-05-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: pregnancy; Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 940041541
Write-up: pt recvd a third dose of Engerix-B @ the time of conception; f/u info from the MD confirmed the pt had a termination; |
|
| VAERS ID: |
63075 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1990-06-21 |
| Onset: | 0000-00-00 |
| Submitted: |
0000-00-00 |
| Entered: |
1994-05-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: pregnancy Allergies: Diagnostic Lab Data: CDC Split Type: 940041551
Write-up: pt who was given third dose of Engerix-B while pregnant; f/u info from the nurse on 29OCT90 confirmed the pt had decided to have a termination which was carried out at 9 weeks; |
|
| VAERS ID: |
63076 (history)
|
| Form: |
Version 1.0 |
| Age: |
43.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1993-02-17 |
| Onset: | 1993-03-25 |
| Days after vaccination: | 36 |
| Submitted: |
0000-00-00 |
| Entered: |
1994-05-24 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: pregnancy Allergies: Diagnostic Lab Data: CDC Split Type: 940041561
Write-up: Pt recvd vax 17FEB93 during early pregnancy (unknowingly); Date of last menstrual period 22JAN93; date of pos pregnancy test 3MAR93; f/u info pt MD confirmed pt had a miscarrage on 25MAR93; |
|
| VAERS ID: |
64606 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Montana |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-07-07 |
| Entered: |
1994-07-12 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES94040190
Write-up: Pt recvd vax & had an elective abortion due to genetic disease present in the fetus; |
|
| VAERS ID: |
65663 (history)
|
| Form: |
Version 1.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 1993-09-30 |
| Onset: | 1993-10-20 |
| Days after vaccination: | 20 |
| Submitted: |
0000-00-00 |
| Entered: |
1994-06-03 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Public Purchased by: Public Symptoms: Abortion,
Pain,
Uterine disorder,
Vaginal haemorrhage SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: abortion Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES93100495
Write-up: pt recvd vax 30SEP93 & pt's LMP 2AUG93 & was determined to be pregnant on 8OCT93; 20OCT93 pt seen by MD w/vaginal bleeding dx w/threatened abortion; |
|
| VAERS ID: |
66346 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-09-01 |
| Entered: |
1994-09-08 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES94081142
Write-up: pt recvd vax & subsequently had an abortion; No further details provided; |
|
| VAERS ID: |
66844 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 1988-10-07 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-04-29 |
| Entered: |
1994-05-03 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (FOREIGN) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Ageusia,
Facial palsy,
Neuropathy,
Optic neuritis,
Retinitis,
Somnolence,
Stillbirth,
Tinnitus SMQs:, Peripheral neuropathy (narrow), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Retinal disorders (narrow), Hearing impairment (narrow), Ocular infections (narrow), Termination of pregnancy and risk of abortion (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: allergy, sulfa drugs; Allergies: Diagnostic Lab Data: OCT88 MRI-crainial nerve abnormality; MRI lt sinus cyst; 10OCT88 CSF nl; CDC Split Type: WAES88100460
Write-up: pt recvd vax & 2 hrs later began exp flushing, chills, nausea, hot flashes, lt sided jaw pain, ringing in lt ear, tearing of lt eye, lack of taste & extreme drowsiness; devel weakness & numbness; facial palsy; dx bell's palsy; |
|
| VAERS ID: |
66951 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-09-26 |
| Entered: |
1994-09-29 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES93060323
Write-up: pt recvd vax while in first trimester of pregnancy; pt had 2 prior pregnancies which carried full term both children reported as living; in f/u pt MD reported that pt lost the baby; No further details could be provided; |
|
| VAERS ID: |
66995 (history)
|
| Form: |
Version 1.0 |
| Age: |
27.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 1993-11-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-09-27 |
| Entered: |
1994-10-03 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Stillbirth SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: triphasil; vitamins, prenatal; Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: ultrasound no fatal cardiac mvt; pregnancy test 19jan94 pos; CDC Split Type: WAES94030872
Write-up: pt recvd vax & was pregnant 4 wks later; @ 40 wks gestation, there was fetal demise; cesarean performed & female infant was delivered w/nuchal cord X 5; |
|
| VAERS ID: |
68919 (history)
|
| Form: |
Version 1.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1994-07-26 |
| Onset: | 0000-00-00 |
| Submitted: |
1994-11-07 |
| Entered: |
1994-11-23 |
| Days after submission: | 16 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
1248A6 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: prophylaxis; Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 940080561
Write-up: pt recvd vax & 1 wk later conceived(3wks later pregnancy confirmed); exp a missed abortion at 11 wks; |
|
| VAERS ID: |
71935 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-03-03 |
| Entered: |
1995-03-07 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: contraceptive pills Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 940035311
Write-up: pt recvd vax;pt is now pregnant; vax given probably 3 wks p/ conception; pt had an abortion; rpt states elective abortion |
|
| VAERS ID: |
73213 (history)
|
| Form: |
Version 1.0 |
| Age: |
21.0 |
| Sex: |
Female |
| Location: |
South Carolina |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-04-04 |
| Entered: |
1995-04-14 |
| Days after submission: | 10 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95030446
Write-up: Pt recvd vax & did not know was pregnant @ the time of vax; pt had an abortion; pharmacist did not know any more details concerning the pts exp; |
|
| VAERS ID: |
73380 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1994-01-13 |
| Onset: | 1994-02-24 |
| Days after vaccination: | 42 |
| Submitted: |
1995-04-17 |
| Days after onset: | 417 |
| Entered: |
1995-04-21 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM |
- / 2 |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: Preexisting Conditions: pt is a primipara, primogenita; pt never had gynecological problems before; Allergies: Diagnostic Lab Data: CDC Split Type: 950032481
Write-up: 13JAN94 pt recvd 2nd dose of vax & became pregnant; 24FEB94 had a spontaneous abortion; pt was hospitalized; 27FEB94 pt was discharged; reporting MD considers the event to be not related to the vax; 29JUN94 3rd dose was given; |
|
| VAERS ID: |
74446 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 1995-02-01 |
| Onset: | 1995-03-01 |
| Days after vaccination: | 28 |
| Submitted: |
1995-05-18 |
| Days after onset: | 78 |
| Entered: |
1995-05-31 |
| Days after submission: | 13 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES |
- / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: adult patient-7wks pregnant; Preexisting Conditions: ultrasound @ 6 wks (1 wk prior to vax) was nl Allergies: Diagnostic Lab Data: CDC Split Type: 895138006L
Write-up: pt recv vax & suffered a miscarriage; following the miscarriage pt was told that the child was developmentally 7 wk gestation; |
|
| VAERS ID: |
74836 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
North Dakota |
| Vaccinated: | 1995-03-24 |
| Onset: | 1995-05-27 |
| Days after vaccination: | 64 |
| Submitted: |
1995-06-07 |
| Days after onset: | 11 |
| Entered: |
1995-06-13 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
1376A / UNK |
- / - |
| TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES |
4H61150 / UNK |
- / - |
Administered by: Military Purchased by: Military Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
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: NONE~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: NA CDC Split Type:
Write-up: spontaneous abortion @ 8 wk on 27MAY95; LMP 19MAR95; vax given 24MAR95 |
|
| VAERS ID: |
75378 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-06-21 |
| Entered: |
1995-06-26 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: pregnancy Preexisting Conditions: Allergies: Diagnostic Lab Data: Pregnancy test: pos CDC Split Type: 940097241
Write-up: pt recv Engerix-B when unknowingly 9 wk pregnant; updated info recv ADDS: pt underwent a termination of pregnancy; file closed; |
|
| VAERS ID: |
76193 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Missouri |
| Vaccinated: | 1995-05-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-07-26 |
| Entered: |
1995-07-28 |
| Days after submission: | 2 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Laboratory test abnormal SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Urine HCF; Urine HCG; Sonogram; CDC Split Type: WAES95070643
Write-up: pt recv vax MAY95 & 2 wk later found out was pregnant via pos urine HCG test; pregnancy was terminated @ wk 9 by D&C D/T declining HCG levels |
|
| VAERS ID: |
76308 (history)
|
| Form: |
Version 1.0 |
| Age: |
15.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-07-28 |
| Entered: |
1995-08-01 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data CDC Split Type: WAES95060901
Write-up: pt recv vax; was found to be pregnant; did not realize was pregnant at time of vax & chose to terminate the pregnancy; |
|
| VAERS ID: |
76674 (history)
|
| Form: |
Version 1.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
Colorado |
| Vaccinated: | 1994-10-20 |
| Onset: | 1994-12-01 |
| Days after vaccination: | 42 |
| Submitted: |
1995-08-15 |
| Days after onset: | 257 |
| Entered: |
1995-08-21 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1236W / 3 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Drug ineffective SMQs:, Lack of efficacy/effect (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 27DEC94 Anti-HBs 2 MIU/ML p/3 doses CDC Split Type: WAES95071040
Write-up: abortion, spontaneous; response, lack of; pregnancy, use during |
|
| VAERS ID: |
76806 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Maryland |
| Vaccinated: | 1995-07-12 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-08-21 |
| Entered: |
1995-08-24 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
0404B / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data CDC Split Type: WAES95070972
Write-up: pt recv vax;on 14jul95, visited MD for D&C & found out she was pregnant;subsequently had a spontaneous abortion; |
|
| VAERS ID: |
77306 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Minnesota |
| Vaccinated: | 1995-05-05 |
| Onset: | 1995-06-22 |
| Days after vaccination: | 48 |
| Submitted: |
0000-00-00 |
| Entered: |
1995-09-11 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. |
K1012 / UNK |
- / - |
| MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES |
4J61039 / UNK |
- / SC |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Mefloguine Larium-hydrochloride Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: ultrasound CDC Split Type:
Write-up: pt was pregnant had a miscarriage was 5 days post conception when vax given & Larium started had live fetus that died @ 6 wk p/LMP |
|
| VAERS ID: |
77501 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1995-06-12 |
| Onset: | 1995-07-22 |
| Days after vaccination: | 40 |
| Submitted: |
1995-09-08 |
| Days after onset: | 48 |
| Entered: |
1995-09-15 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
0401B / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Dermatitis bullous,
Infection SMQs:, Severe cutaneous adverse reactions (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: varicella antibody titer neg; CDC Split Type: WAES95071512
Write-up: pt's child recv vax;devel vesicular rash 6jul95;22jul95 devel vesicular rash w/ approx 100 lesions;MD said possibly contracted virus & broke out in gen varicella rash;underwent therapeutic abortion;specimens analysis revealed vax strain; |
|
| VAERS ID: |
77823 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
North Dakota |
| Vaccinated: | 1995-03-28 |
| Onset: | 1995-05-27 |
| Days after vaccination: | 60 |
| Submitted: |
0000-00-00 |
| Entered: |
1995-08-29 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
1376A / UNK |
- / - |
| TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES |
4H61150 / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: NA CDC Split Type:
Write-up: spontaneous abortion p/MMR & Td @ 8wks gest; LMP 17MAR95; vax given 28MAR95 |
|
| VAERS ID: |
78083 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-10-06 |
| Entered: |
1995-10-12 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95070746
Write-up: pt recvd vax in early pregnancy, subsequently elected to undergo an abortion; No further info is expected; |
|
| VAERS ID: |
78124 (history)
|
| Form: |
Version 1.0 |
| Age: |
25.0 |
| Sex: |
Female |
| Location: |
Ohio |
| Vaccinated: | 1995-08-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-09-29 |
| Entered: |
1995-10-16 |
| Days after submission: | 17 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES95091271
Write-up: pt recvd vax AUG95 & 2 to 3 wks later discovered pt was pregnant;presented to GYN for exam;recommended therapeutic abortion;MD later spoke w/pt who informed him that she was no longer pregnant;poss that underwent abortion or miscarriage |
|
| VAERS ID: |
78384 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
Florida |
| Vaccinated: | 1995-05-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-10-20 |
| Entered: |
1995-10-25 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Cellulitis SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data CDC Split Type: WAES95090491
Write-up: pt recvd vax MAY95 & JUN95 & devel localized cellulitis p/each dose; her last mentrual period was 20SEP95;pt became pregnant;pregnancy was not established & @ 4wks exp a miscarriage;No further details were provided |
|
| VAERS ID: |
78441 (history)
|
| Form: |
Version 1.0 |
| Age: |
24.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1995-08-23 |
| Onset: | 1995-10-03 |
| Days after vaccination: | 41 |
| Submitted: |
1995-10-23 |
| Days after onset: | 20 |
| Entered: |
1995-10-27 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / - |
| TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / UNK |
- / - |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Stillbirth SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: miscarriage Allergies: Diagnostic Lab Data: 3OCT95 ultrasound non-viable pregnancy CDC Split Type: WAES95090702
Write-up: pt recvd vax 23AUG95 & pregnancy tests @ time of vax were neg, according to pt; LMP 3AUG95; pt found to be pregnant; etimated date of delivery was 25APR96; ultrasound on 3OCT95 revealed a non-viable pregnancy |
|
| VAERS ID: |
78567 (history)
|
| Form: |
Version 1.0 |
| Age: |
15.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1994-11-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-10-27 |
| Entered: |
1995-11-01 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Unintended pregnancy SMQs:, Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Paroxetine, Trazodone hcl Current Illness: Preexisting Conditions: no relevant history Allergies: Diagnostic Lab Data: no relevant data CDC Split Type: WAES94125018
Write-up: pt recvd vax in NOV94 & became pregnant & on 28DEC94 had a termination;MD stated did not know if there were any fetal abnormalities;addtl info is not expected; |
|
| VAERS ID: |
79643 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-11-21 |
| Entered: |
1995-11-27 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95070763
Write-up: pt recvd vax & became pregnant;pt subsequently elected to terminate the preg around gestational wk 8 or 9; |
|
| VAERS ID: |
79644 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Wisconsin |
| Vaccinated: | 1995-06-26 |
| Onset: | 0000-00-00 |
| Submitted: |
1995-11-21 |
| Entered: |
1995-11-27 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95071473
Write-up: pt recvd vax 26JUN95 & LMP 01JUN95;pt became pregnant;pt elected to terminate the pregnancy in the first trimester; |
|
| VAERS ID: |
79817 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1994-11-30 |
| Onset: | 1995-02-01 |
| Days after vaccination: | 63 |
| Submitted: |
1995-11-22 |
| Days after onset: | 294 |
| Entered: |
1995-12-05 |
| Days after submission: | 13 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 950001371
Write-up: pt recvd vax & became pregnant & it was noted that the pt had a spontaneous abortion @ 11wks w/evacuation of products early February 1995; |
|
| VAERS ID: |
80813 (history)
|
| Form: |
Version 1.0 |
| Age: |
33.0 |
| Sex: |
Female |
| Location: |
Georgia |
| Vaccinated: | 1995-09-15 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-01-03 |
| Entered: |
1996-01-11 |
| Days after submission: | 8 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion,
Foetal disorder SMQs:, Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: diabetes, gestational Allergies: Diagnostic Lab Data: ultrasound 6.2 wk fac w/o fetal pulse CDC Split Type: WAES95110229
Write-up: pt recvd vax 15SEP95 & 3 days prior to LMP 18SEP95;pt became pregnant;@ gestation week 13, exam failed to reveal a fetal heart tone;ultrasound exam revealed a 6.2 wk fetus w/o a pulse;pt had a spontaneous miscarriage |
|
| VAERS ID: |
80814 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
New York |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-01-04 |
| Entered: |
1996-01-11 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95120222
Write-up: pt recvd vax & was 4 wks pregnant;pt elected to terminate the pregnancy @ 6wks gestation; no further details are expected |
|
| VAERS ID: |
80972 (history)
|
| Form: |
Version 1.0 |
| Age: |
29.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1995-11-30 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-01-16 |
| Entered: |
1996-01-22 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95121469
Write-up: pt recvd vax 30NOV95 & later discovered that she was pregnant;pt recvd 2nd dose of vax 2 wks p/conception;pt elected to undergo an abortion because of vax;No further details were provided; |
|
| VAERS ID: |
80974 (history)
|
| Form: |
Version 1.0 |
| Age: |
35.0 |
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 1995-10-09 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-01-11 |
| Entered: |
1996-01-22 |
| Days after submission: | 11 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95110226
Write-up: pt recvd vax 9OCT95 & was in second wk of gestation @ time of vax;LMP was 17SEP95 & estimated date of delivery was 24JUN96;pt aborted pregnancy @ 7wks gestation;No further details are expected |
|
| VAERS ID: |
81266 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Nebraska |
| Vaccinated: | 1994-12-01 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-01-17 |
| Entered: |
1996-01-24 |
| Days after submission: | 7 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. |
- / UNK |
- / IM |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Vitamins, Prenatal Current Illness: Preexisting Conditions: smoker;alcohol consumption Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95030013
Write-up: pt recvd vax in 1994 & became pregnant;LMP 19JAN95 & estimated delivery date was 26OCT95;MD reported in JAN96 pt consumed 1 to 2 alcoholic drinks per wk during pregnancy & pt's pregnancy resulted in a spontaneous abortion; |
|
| VAERS ID: |
82310 (history)
|
| Form: |
Version 1.0 |
| Age: |
30.0 |
| Sex: |
Female |
| Location: |
New Jersey |
| Vaccinated: | 1995-11-15 |
| Onset: | 1995-12-08 |
| Days after vaccination: | 23 |
| Submitted: |
1996-02-06 |
| Days after onset: | 61 |
| Entered: |
1996-02-12 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 1 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: No relevant data; CDC Split Type: WAES95120616
Write-up: pt recvd vax 15NOV95 & was found to be pregnant;LMP 06OCT95 & estimated date of delivery was 12JUN96;8DEC95 pt underwent an elective abortion;No further details are expected |
|
| VAERS ID: |
82666 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
Illinois |
| Vaccinated: | 1995-08-15 |
| Onset: | 1996-01-01 |
| Days after vaccination: | 139 |
| Submitted: |
1996-02-08 |
| Days after onset: | 38 |
| Entered: |
1996-02-16 |
| Days after submission: | 8 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 2 |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: abortion Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES95121330
Write-up: pt recvd vax 15AUG95 & subsequently pt became pregnant;LMP 21SEP95;pt's estimated date of delivery was 20JUL96;1JAN96 (12wks gestation) pt had a miscarriage;no further details are expected; |
|
| VAERS ID: |
82965 (history)
|
| Form: |
Version 1.0 |
| Age: |
34.0 |
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 1995-04-13 |
| Onset: | 1995-09-28 |
| Days after vaccination: | 168 |
| Submitted: |
1996-02-14 |
| Days after onset: | 140 |
| Entered: |
1996-02-23 |
| Days after submission: | 9 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abnormal labour,
Abortion,
Congenital anomaly,
Foetal disorder SMQs:, Congenital, familial and genetic disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 960011801
Write-up: pt recv vax & was unknowingly pregnant;p/ 5 months pt lost the baby which had congenital abn; |
|
| VAERS ID: |
83048 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Arizona |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-02-20 |
| Entered: |
1996-02-26 |
| Days after submission: | 6 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| RAB: RABIES (NO BRAND NAME) / UNKNOWN MANUFACTURER |
- / 5 |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion,
Hypertonia,
Malaise SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Termination of pregnancy and risk of abortion (narrow), Hypokalaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: CO6485
Write-up: severe muscle cramps, malaise;subsequently underwent elective abortion for dead fetus synd; |
|
| VAERS ID: |
83956 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Michigan |
| Vaccinated: | 1996-01-03 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-03-21 |
| Entered: |
1996-03-26 |
| Days after submission: | 5 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / 1 |
- / SC |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: negative serum VZV antibody CDC Split Type: WAES96021568
Write-up: pt recv vax;subsequently became pregnant;noted that conception date was 27jan96;at 4.5 wk gestation,pt had miscarriage; |
|
| VAERS ID: |
84553 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
Foreign |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-03-22 |
| Entered: |
1996-04-05 |
| Days after submission: | 14 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: 950053731
Write-up: pt recv vax when was unknowingly 3wks pregnant;pt is now 6wks pregnant;pt has had a termination for social reasons (not for any abnormalities);MD considers the event to be unrelated to Hep B vax |
|
| VAERS ID: |
84806 (history)
|
| Form: |
Version 1.0 |
| Age: |
32.0 |
| Sex: |
Female |
| Location: |
Pennsylvania |
| Vaccinated: | 1996-01-16 |
| Onset: | 1996-03-01 |
| Days after vaccination: | 45 |
| Submitted: |
1996-04-08 |
| Days after onset: | 38 |
| Entered: |
1996-04-11 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: miscarriage Allergies: Diagnostic Lab Data: 14FEB96 ultrasound 9wks gestation CDC Split Type: WAES96021094
Write-up: pt recv vax 16JAN96;pt's LMP 7DEC95 & 14FEB96 ultrasound was performed & confirmed that a fetus was 9wks gestation;MAR96 @ 12wks gestation the pregnancy was electively terminated; |
|
| VAERS ID: |
85291 (history)
|
| Form: |
Version 1.0 |
| Age: |
|
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 0000-00-00 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-04-22 |
| Entered: |
1996-04-25 |
| Days after submission: | 3 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data; CDC Split Type: WAES96021892
Write-up: pt recv vax & became pregnant & pt had a miscarriage;No further details are expected; |
|
| VAERS ID: |
85406 (history)
|
| Form: |
Version 1.0 |
| Age: |
31.0 |
| Sex: |
Female |
| Location: |
California |
| Vaccinated: | 1995-04-30 |
| Onset: | 0000-00-00 |
| Submitted: |
1996-04-25 |
| Entered: |
1996-04-29 |
| Days after submission: | 4 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| RUB: RUBELLA (MERUVAX II) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Other Purchased by: Other Symptoms: Abortion SMQs:, Termination of pregnancy and risk of abortion (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: no relevant data CDC Split Type: WAES95050767
Write-up: pt recv vax;was pregnant;f/u indicated that pregnancy was terminated; |
|