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This is VAERS ID 271101

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271101
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Pregnancy test positive, Ultrasound uterus, Vaginitis bacterial

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: PRILOSEC OTC mg
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP = 9/11/2006), Gastroesophageal reflux, Dyspepsia
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive
CDC 'Split Type':

Write-up:Information has been received from a physician through the pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no know drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with"the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot3653735/0688F). Concomitant therapy included Prilosec OTC. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with Flagyl 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the


Changed on 12/8/2009

271101 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pregnancy test positive, Ultrasound uterus, Vaginitis bacterial

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: PRILOSEC OTC mg
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP = 9/11/2006), Gastroesophageal reflux, Dyspepsia
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive
CDC 'Split Type': (blank) WAES0612USA01297

Write-up:Information has been received from a physician through the pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no know drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with"the with the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot3653735/0688F). Concomitant therapy included Prilosec OTC. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with Flagyl 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of LMP. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 3/2/2010

271101 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pregnancy test positive, Ultrasound uterus, Vaginitis bacterial

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
Previous Vaccinations:
Other Medications: PRILOSEC OTC mg mg; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 9/11/2006); Gastrooesophageal reflux; Dyspepsia
Preexisting Conditions: Pregnancy NOS (LMP = 9/11/2006), Gastroesophageal reflux, Dyspepsia
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive ; diagnostic laboratory, "CF Carrier Screen" Negative
CDC 'Split Type': WAES0612USA01297

Write-up:Information This is in follow-up to report(s) previously submitted on 1/16/2007. Initial and follow-up information has been received from a physician through the Merck pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no know known drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast) GARDASIL (0.5 ml) (lot3653735/0688F). (lot # 653735/0688F). Concomitant therapy included Prilosec OTC. PRILOSEC OTC and prenatal vitamins. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with Flagyl FLAGYL 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of LMP. last menstrual period (LMP). On an unspecified date a Cystic Fibrosis carrier screen was performed, results were negative. On 22-MAR-2007 she delivered a normal, healthy male baby weighing 6 pounds 3 ounces and 18 1/2" long, with a head circumference of 33.5 cm, and APGAR scores of 9 at one and five minutes. The patient''s labor and delivery was uncomplicated. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 4/7/2010

271101 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal, Pregnancy test positive, Drug exposure during pregnancy, Ultrasound abdomen abnormal, Ultrasound uterus, Blood human chorionic gonadotropin positive, Vaginitis bacterial

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? No
Previous Vaccinations:
Other Medications: PRILOSEC OTC mg; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 9/11/2006); Gastrooesophageal reflux; Dyspepsia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive ; diagnostic laboratory, "CF Carrier Screen" Negative
CDC 'Split Type': WAES0612USA01297

Write-up:This is in follow-up to report(s) previously submitted on 1/16/2007. Initial and follow-up information has been received from a physician through the Merck pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no known drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (lot # 653735/0688F). Concomitant therapy included PRILOSEC OTC and prenatal vitamins. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with FLAGYL 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of last menstrual period (LMP). On an unspecified date a Cystic Fibrosis carrier screen was performed, results were negative. On 22-MAR-2007 she delivered a normal, healthy male baby weighing 6 pounds 3 ounces and 18 1/2" long, with a head circumference of 33.5 cm, and APGAR scores of 9 at one and five minutes. The patient''s labor and delivery was uncomplicated. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 6/14/2014

271101 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal, Pregnancy test positive, Drug exposure during pregnancy, Ultrasound abdomen abnormal, Ultrasound uterus, Blood human chorionic gonadotropin positive, Vaginitis bacterial

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? No
Previous Vaccinations:
Other Medications: PRILOSEC OTC mg; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 9/11/2006); Gastrooesophageal reflux; Dyspepsia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive ; diagnostic laboratory, "CF Carrier Screen" Negative
CDC 'Split Type': WAES0612USA01297

Write-up:This is in follow-up to report(s) previously submitted on 1/16/2007. Initial and follow-up information has been received from a physician through the Merck pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no known drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (lot # 653735/0688F). Concomitant therapy included PRILOSEC OTC and prenatal vitamins. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with FLAGYL 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of last menstrual period (LMP). On an unspecified date a Cystic Fibrosis carrier screen was performed, results were negative. On 22-MAR-2007 she delivered a normal, healthy male baby weighing 6 pounds 3 ounces and 18 1/2" long, with a head circumference of 33.5 cm, and APGAR scores of 9 at one and five minutes. The patient''s labor and delivery was uncomplicated. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 2/14/2017

271101 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal, Pregnancy test positive, Drug exposure during pregnancy, Ultrasound abdomen abnormal, Ultrasound uterus, Blood human chorionic gonadotropin positive, Vaginitis bacterial

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? No
Previous Vaccinations:
Other Medications: PRILOSEC OTC mg; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 9/11/2006); Gastrooesophageal reflux; Dyspepsia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive ; diagnostic laboratory, "CF Carrier Screen" Negative
CDC 'Split Type': WAES0612USA01297

Write-up:This is in follow-up to report(s) previously submitted on 1/16/2007. Initial and follow-up information has been received from a physician through the Merck pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no known drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (lot # 653735/0688F). Concomitant therapy included PRILOSEC OTC and prenatal vitamins. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with FLAGYL 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of last menstrual period (LMP). On an unspecified date a Cystic Fibrosis carrier screen was performed, results were negative. On 22-MAR-2007 she delivered a normal, healthy male baby weighing 6 pounds 3 ounces and 18 1/2" long, with a head circumference of 33.5 cm, and APGAR scores of 9 at one and five minutes. The patient''s labor and delivery was uncomplicated. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


Changed on 9/14/2017

271101 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2006-10-16
Onset:2006-10-16
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Laboratory test abnormal, Pregnancy test positive, Drug exposure during pregnancy, Ultrasound abdomen abnormal, Ultrasound uterus, Blood human chorionic gonadotropin positive, Vaginitis bacterial

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? No
Previous Vaccinations:
Other Medications: PRILOSEC OTC mg; vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 9/11/2006); Gastrooesophageal reflux; Dyspepsia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 12/19/06 - gest age 24.7 weeks, beta-human chorionic 10/31/06 - positive ; diagnostic laboratory, "CF Carrier Screen" Negative
CDC 'Split Type': WAES0612USA01297

Write-up:This is in follow-up to report(s) previously submitted on 1/16/2007. Initial and follow-up information has been received from a physician through the Merck pregnancy registry concerning a 17 year old female with episodic reflux and dyspepsia and no known drug allergies and no previous pregnancies who on 16-Oct-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (lot # 653735/0688F). Concomitant therapy included PRILOSEC OTC and prenatal vitamins. From 20-Oct-2006 to 26-Oct-2006 the patient was placed on therapy with FLAGYL 500 mg twice daily for bacterial vaginitis. On 31-Oct-2006 the patient was found to have a positive pregnancy test. LMP was 11-Sep-2006. Unspecified medical attention was sought and the patient was placed on prenatal vitamins. On 19-Dec-2006, an ultrasound revealed gestational age 24.7 weeks which was not consistent with the estimated date of last menstrual period (LMP). On an unspecified date a Cystic Fibrosis carrier screen was performed, results were negative. On 22-MAR-2007 she delivered a normal, healthy male baby weighing 6 pounds 3 ounces and 18 1/2" long, with a head circumference of 33.5 cm, and APGAR scores of 9 at one and five minutes. The patient''s labor and delivery was uncomplicated. No other symptoms were noted. At the time of this report, the outcome of the events was unknown. Additional information has been requested.


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