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This is VAERS ID 273907

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 273907 (history)  
Form: Version .0  
Age: 25.0  
Sex: Female  
Location: Virginia  
Vaccinated:2007-01-22
Onset:2007-01-22
   Days after vaccination:0
Submitted: 2007-03-13
   Days after onset:49
Entered: 2007-03-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion induced, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: amitriptyline hydrochloride
Current Illness: Pregnancy NOS (LMP = Unknown) Drug hypersensitivity
Preexisting Conditions: Pregnancy
Allergies:
Diagnostic Lab Data: urine beta-human - positive for pregnancy
CDC Split Type:

Write-up: Information has been received from a licensed practical nurse, for the Pregnancy Registry for Gardasil concerning a 25 year old female with drug hypersensitivity to ENTEX, erythromycin, codeine, LORTAB, and IMITREX and a history of pregnancy who on 21-NOV"-2006 was vaccinated with first dose of Gardasil (lot # 654702/0011U) IM. On 22-JAN-2007, the patient was vaccinated with second dose of Gardasil (lot # 654702/0011U), IM. Concomitant therapy included amitriptylline hydrochloride. The patient sought medic


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