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This is VAERS ID 270529

Case Details

VAERS ID: 270529 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Kentucky  
   Days after vaccination:0
Submitted: 2007-01-12
   Days after onset:57
Entered: 2007-01-16
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abortion, Medication error, Unintended pregnancy
SMQs:, Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow), Medication errors (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:
Other Medications: Depo-Provera; Nasonex
Current Illness:
Preexisting Conditions: Pregnancy (LMP = 10/28/2006); Seasonal allergy; Contraception
Diagnostic Lab Data: beta-human chorionic 11/16/06 - negative; beta-human chorionic 12/05/06 - positive
CDC Split Type: WAES0612USA00985

Write-up: Information has been received from a registered nurse for the pregnancy registry for Gardasil concerning an 18 year old white female with seasonal allergies and no medical history, who on 16-NOV-2006 was vaccinated IM with a 0.5 ml dose of Gardasil (lot# 654540/0800F). Concomitant therapy included Depo-Provera and Nasonex. On 16-NOV-2006, the patient''s pregnancy test was negative. On 05-DEC-2006, the patient''s pregnancy test was positive. It was noted that the patient may have an abortion but that was not related to the vaccine. Unspecified medical attention was sought. No product quality complaint was involved. Follow-up information indicated that the patient''s LMP was on 28-OCT-2006 (estimated delivery date is 04-AUG-2007). On 03-JAN-2007 (reported as 03-JAN-2006), the patient had an elective termination. Upon internal review, elective termination was considered to be an other important medical event (OMIC). No further information was available.

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