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This is VAERS ID 274219

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274219
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Alpha 1 foetoprotein abnormal, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Neural tube defect

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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':

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 condition"s, 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.


Changed on 12/8/2009

VAERS ID: 274219 Before After
Age:17.0
Gender:Female
Location:California
Vaccinated:2006-10-17
Onset:2006-10-17
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Alpha 1 foetoprotein abnormal, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Neural tube defect

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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': (blank) 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 condition"s, 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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