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This is VAERS ID 272793

Case Details

VAERS ID: 272793 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Pennsylvania  
Submitted: 2007-02-20
Entered: 2007-02-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Amniocentesis, Drug exposure during pregnancy, Foetal disorder, Pregnancy, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (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:
Current Illness: Pregnancy NOS (LMP = 11/3/2006)
Preexisting Conditions:
Diagnostic Lab Data: Amniocentesis, Ultrasound
CDC Split Type: WAES0702USA01359

Write-up: Information has been received from a medical assistant concerning her 18 year old daughter with family history free from abnormalities who in August 2006, was vaccinated with Gardasil (lot # not reported) injection, IM. Concomitant therapy included varicella virus vaccine live (lot # not reported) given in September 2006). The patient sought medical attention. At the time of reporting, the patient was 4 months pregnant (estimated last menstrual period 03-NOV-2006 and estimated date of delivery 10-AUG-2007). Her unborn child has fetal abnormalities which were detected shortly after vaccination with Gardasil and varicella virus vaccine live. On an unspecified date, the patient had ultrasounds and amniocentesis performed. Additional information was received from the patient''s mother via telephone call who reported that her daughter is currently under the care of perinatologist. Additional information has been requested.

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