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Volume 12, Number 7—July 2006

Dispatch

Smallpox during Pregnancy and Maternal Outcomes

Hiroshi Nishiura*†Comments to Author 
Author affiliation: *University of Tübingen, Tübingen, Germany; †Hiroshima University, Hiroshima, Japan

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Table A6

Anonymous records of 46 pregnant women with smallpox, Philadelphia, 1878 (10)

Patient identification Age Classification* Vaccination history Gestational age (mo) Dates of smallpox at miscarriage or premature birth† Maternal outcome
1 23 Variola Vaccinated 4 Day 4 of eruption Recovered
2 27 Variola Vaccinated 3 Died
3 35 Varioloid Vaccinated 3 Day 18 of eruption Recovered
4 21 Variola Vaccinated 2 Week 3 Recovered
5 32 Varioloid Vaccinated 5 After discharge Recovered
6 24 Variola Vaccinated 8 Day 1 of fever Died
7 30 Variola Vaccinated 5.5 Recovered
8 26 Varioloid Vaccinated 3 5 wks after discharge Recovered
9 22 Variola Unvaccinated 7.5 Day 1 of eruption Died
10 35 Varioloid Vaccinated 3 Recovered
11 15 Variola Unvaccinated 3 Died
12 23 Varioloid Vaccinated 2 Day 10 after discharge Recovered
13 22 Varioloid Vaccinated 5.5 Day 26 of eruption Recovered
14 18 Varioloid Vaccinated 8.5 Day 9 of eruption Recovered
15 21 Varioloid Vaccinated 3 Recovered
16 29 Varioloid Vaccinated 5 Died
17 30 Varioloid Vaccinated 9 Early stage Recovered
18 30 Variola Vaccinated 5.5 Day 2 of eruption Died
19 27 Varioloid Vaccinated 7 Recovered
20 27 Variola Vaccinated 3 Day 1 of eruption Died
21 26 Variola Unvaccinated 7 or 8 Day 3 of eruption Died
22 32 Varioloid Vaccinated 8 Recovered
23 20 Variola Unvaccinated 6 Died
24 17 Variola Unvaccinated 4 6 wks after discharge Recovered
25 24 Variola Vaccinated 3 Died
26 19 Varioloid Vaccinated 6 1 mo after discharge Recovered
27 26 Variola Vaccinated 5 Day 3 of eruption Died
28 22 Varioloid Vaccinated 3 Day 2 of eruption Recovered
29 30 Variola Vaccinated 5.5 Day 4 of eruption Recovered
30 20 Varioloid Vaccinated 8 Day 1 of eruption Recovered
31 25 Variola Vaccinated 5.5 Recovered
32 25 Variola Vaccinated 4 Day 5 of eruption Recovered
33 45 Varioloid Vaccinated 6 Recovered
34 19 Varioloid Vaccinated 6 Recovered
35 26 Variola Unvaccinated 7.5 Day 1 of eruption Died
36 18 Varioloid Vaccinated 3.5 Recovered
37 26 Variola Unvaccinated 8 Early stage Died
38 41 Varioloid Vaccinated 8 Day 3 of eruption Recovered
39 28 Varioloid Vaccinated 4.5 Recovered
40 30 Varioloid Vaccinated 6 Recovered
41 25 Varioloid Vaccinated 3 Day 1 of eruption Recovered
42 20 Variola Vaccinated 6.5 Day 5 of eruption Died
43 22 Varioloid Vaccinated 5 Recovered
44 28 Varioloid Vaccinated 6 Recovered
45 21 Varioloid Vaccinated 5 During maturation Recovered
46 25 Varioloid Vaccinated 6 Recovered

*Variola includes a rash (hemorrhagic, confluent, and discrete), while varioloid is equivalent to variola sine eruptione.
†Clinical stage of smallpox when miscarriage or premature birth occurred. Those reports that did not document the outcomes have been left blank.

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