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This is VAERS ID 274219

Case Details

VAERS ID: 274219 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:148
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Alpha 1 foetoprotein abnormal, Drug exposure during pregnancy, Neural tube defect, Pregnancy test positive, Ultrasound scan
SMQs:, Congenital, familial and genetic disorders (narrow), Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (broad), 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: NONE
Current Illness: Pregnancy NOS (LMP = 10/18/06), Penicillin allergy; Drug Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: ultrasound 12/11/06 - prenatal testing: 8 weeks and 2 days, serum alpha-fetoprotein 12/11?/06 - positive screen for neural tube defect
CDC Split Type: WAES0702USA02440

Write-up: Information has been received from a licensed practical nurse (LVN) as part of the pregnancy registry concerning a 17 year old female with penicillin allergy and drug reaction/allergy to DARVOCET, and VICODIN. She had no other concurrent medical conditions, or significant past medical history including no history or pregnancies. On 17-OCT-2006, the patient was vaccinated with first dose of Gardasil (yeast) (lot # 654540/0800F also reported as 653937/0637F) 0.5 ml IM. There was no concomitant medication. The patient''s last menstrual period was 18-OCT-2006. Medical attention was sought. On 11-DEC-2006, an ultrasound was performed that revealed pregnancy of 8 weeks and 2 days (estimated date of delivery 25-JUL-2007). On approximately 11-DEC-2006, maternal serum alpha-fetoprotein (MSAFP) test was performed that indicated the baby was at increased risk (positive) for neural tube defect (NTD). Medication taken during the pregnancy included prenatal vitamins. The patient was scheduled for follow-up testing with a perinatologist. No other information was available at the time of reporting. Additional information has been requested.

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