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This is VAERS ID 269778

Case Details

VAERS ID: 269778 (history)  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2006-12-11
Onset:2006-12-20
   Days after vaccination:9
Submitted: 2006-12-20
   Days after onset:0
Entered: 2006-12-28
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Pregnancy test false positive
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: urine pregnancy test in office (12-20-06) positive
CDC Split Type:

Write-up: Patient pregnancy unbeknownst to provider when vaccine administered. Patient didn''t divulge pregnancy test at home. Was positive one month prior.


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