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This is VAERS ID 264745

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

264745
VAERS Form:
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Unintended pregnancy, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms
Preexisting Conditions: Pregnancy, breast lump, flu symptoms. depression.
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type':

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of"HPV rL1 6 11 16 18 VLP vaccine yeast (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included sertraline HCL (Zoloft). Other vaccinations given on 9/6/06 included diphtheria toxoid + pe


Changed on 12/8/2009

264745 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Unintended pregnancy, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms
Preexisting Conditions: Pregnancy, breast lump, flu symptoms. depression.
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': (blank) WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of"HPV of HPV rL1 6 11 16 18 VLP vaccine yeast (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included sertraline HCL (Zoloft). Other vaccinations given on 9/6/06 included diphtheria toxoid + pe pertussis acellular vaccine (unspecified) + tetanus toxoid. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Additional information has been requested.


Changed on 3/2/2010

264745 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Unintended pregnancy, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions: Pregnancy, breast lump, flu symptoms. depression.
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of HPV rL1 6 11 16 18 VLP vaccine yeast (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included sertraline HCL (Zoloft). Other vaccinations given on 9/6/06 included diphtheria toxoid + pertussis acellular vaccine (unspecified) + tetanus toxoid. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 4/7/2010

264745 Before After
VAERS Form:
Age:16.0 15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Unintended pregnancy, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of HPV rL1 6 11 16 18 VLP vaccine yeast GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included sertraline HCL (Zoloft). Zoloft. Other vaccinations given on 9/6/06 included diphtheria toxoid + pertussis acellular vaccine (unspecified) + tetanus toxoid. Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 9/14/2011

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Caesarean section, Ultrasound antenatal screen abnormal, Unintended pregnancy, Viral infection, Umbilical cord abnormality, Foetal disorder, Fear of pregnancy, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 10/11/2011

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal distension, Amniocentesis abnormal, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased, Blood culture positive, Blood pH decreased, Blood potassium increased, Caesarean section, Chest X-ray abnormal, Colonic stenosis, Gastroschisis, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased, PCO2 increased, Platelet count decreased, PO2 increased, Protein total decreased, Red blood cell count decreased, Total lung capacity decreased, Ultrasound antenatal screen abnormal, Unintended pregnancy, Urinary system X-ray, Viral infection, White blood cells urine positive, X-ray abnormal, Umbilical cord abnormality, Drug screen positive, Urine leukocyte esterase positive, Parenteral nutrition, Nitrite urine present, Central venous catheterisation, Red cell distribution width increased, Intestinal resection, Intestinal anastomosis, Blood alkaline phosphatase increased, Bacterial infection, Foetal disorder, Culture negative, Urine colour abnormal, Fear of pregnancy, Antibiotic resistant Staphylococcus test negative, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 1/15/2012

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal distension, Amniocentesis abnormal, Appendicectomy, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased, Blood culture positive, Blood pH decreased, Blood potassium increased, Caesarean section, Chest X-ray abnormal, Colonic stenosis, Gastroschisis, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased, PCO2 increased, Platelet count decreased, PO2 increased, Protein total decreased, Red blood cell count decreased, Total lung capacity decreased, Ultrasound antenatal screen abnormal, Unintended pregnancy, Urinary system X-ray, Viral infection, White blood cells urine positive, X-ray abnormal, Umbilical cord abnormality, Drug screen positive, Urine leukocyte esterase positive, Parenteral nutrition, Nitrite urine present, Central venous catheterisation, Red cell distribution width increased, Intestinal resection, Intestinal anastomosis, Blood alkaline phosphatase increased, Bacterial infection, Foetal disorder, Culture negative, Urine colour abnormal, Fear of pregnancy, Antibiotic resistant Staphylococcus test negative, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: (blank) 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 6/14/2014

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal distension, Amniocentesis abnormal, Appendicectomy, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased, Blood culture positive, Blood pH decreased, Blood potassium increased, Caesarean section, Chest X-ray abnormal, Colonic stenosis, Gastroschisis, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased, PCO2 increased, Platelet count decreased, PO2 increased, Protein total decreased, Red blood cell count decreased, Total lung capacity decreased, Ultrasound antenatal screen abnormal, Unintended pregnancy, Urinary system X-ray, Viral infection, White blood cells urine positive, X-ray abnormal, Umbilical cord abnormality, Drug screen positive, Urine leukocyte esterase positive, Parenteral nutrition, Nitrite urine present, Central venous catheterisation, Red cell distribution width increased, Intestinal resection, Intestinal anastomosis, Blood alkaline phosphatase increased, Bacterial infection, Foetal disorder, Culture negative, Urine colour abnormal, Fear of pregnancy, Antibiotic resistant Staphylococcus test negative, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 3/14/2015

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal distension, Amniocentesis abnormal, Appendicectomy, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased, Blood culture positive, Blood pH decreased, Blood potassium increased, Caesarean section, Chest X-ray abnormal, Colonic stenosis, Gastroschisis, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased, PCO2 increased, Platelet count decreased, PO2 increased, Protein total decreased, Red blood cell count decreased, Total lung capacity decreased, Ultrasound antenatal screen abnormal, Unintended pregnancy, Urinary system X-ray, Viral infection, White blood cells urine positive, X-ray abnormal, Umbilical cord abnormality, Drug screen positive, Urine leukocyte esterase positive, Parenteral nutrition, Nitrite urine present, Central venous catheterisation, Red cell distribution width increased, Intestinal resection, Intestinal anastomosis, Blood alkaline phosphatase increased, Bacterial infection, Foetal disorder, Culture negative, Urine colour abnormal, Fear of pregnancy, Antibiotic resistant Staphylococcus test negative, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 2/14/2017

264745 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal distension, Amniocentesis abnormal, Appendicectomy, Bilirubin conjugated increased, Blood albumin decreased, Blood bilirubin increased, Blood chloride increased, Blood culture positive, Blood pH decreased, Blood potassium increased, Caesarean section, Chest X-ray abnormal, Colonic stenosis, Gastroschisis, Haematocrit decreased, Haemoglobin decreased, Mean cell haemoglobin concentration increased, Mean cell haemoglobin increased, Mean cell volume increased, PCO2 increased, Platelet count decreased, PO2 increased, Protein total decreased, Red blood cell count decreased, Total lung capacity decreased, Ultrasound antenatal screen abnormal, Unintended pregnancy, Urinary system X-ray, Viral infection, White blood cells urine positive, X-ray abnormal, Umbilical cord abnormality, Drug screen positive, Urine leukocyte esterase positive, Parenteral nutrition, Nitrite urine present, Central venous catheterisation, Red cell distribution width increased, Intestinal resection, Intestinal anastomosis, Blood alkaline phosphatase increased, Bacterial infection, Foetal disorder, Culture negative, Urine colour abnormal, Fear of pregnancy, Antibiotic resistant Staphylococcus test negative, Foetal growth restriction, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


Changed on 9/14/2017

264745 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Maine
Vaccinated:2006-08-31
Onset:2006-09-06
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 UN / IM
TDAP: TDAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Unintended pregnancy, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Breast lump, Flu symptoms, Pregnancy NOS ( LMP = Unknown), Depression.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Urine beta human 09/06/06 positive.
CDC 'Split Type': WAES0609USA02871

Write-up:Information has been received through the pregnancy registry from a nurse practitioner concerning a 15 year old female with no known drug allergies, and with depression who on 8/31/06 at 3:00pm was vaccinated IM in the right deltoid with the first dose of GARDASIL (lot 653937/0637F). Illnesses at the time of vaccination included flu symptoms and a breast lump. Concomitant therapy included Zoloft. Other vaccinations given on 9/6/06 included Tdap. On 9/6/06 the pt was seen at her physician with a complaint of continued viral illness. It was reported that the pt was aware that she was pregnant but did not disclose this information to her health care provider until after vaccination. A urine pregnancy test was performed and found to be positive. The pt was advised no to receive the second dose of HPV. At the time of this report, the outcome of the viral illness and vaccine exposure during pregnancy was not known. Follow-up information has been received from the patient''s OB-GYN. A nurse reported that the patient was last seen at 28 weeks gestation on 12-JAN-2007. At that time, she was transfered to the department of maternal-fetal medicine at a local hospital. A nurse at the maternal-fetal medicine department reported that the patient delivered via vaginal delivery a "healthy baby boy but had gastroschisis". The baby was born on 07-APR-2007 and APGAR scores were 8 and 9 at one and five minutes, respectively. The nurse was unable to provide the infant''s birhtweight and indicated that infants born with this congenital anomaly are generally hospitalized for 12 weks. The nurse could not confirm when and if thin infant had been discharged from the hospital. Additional information has been requested.


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