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This is VAERS ID 274313

Case Details

VAERS ID: 274313 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Missouri  
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Gonorrhoea
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: albuterol, ADVAIR, trichloroacetic acid 80 %
Current Illness: Pregnancy NOS (LMP = 1/3/2007), Asthma; Genital wart
Preexisting Conditions: Migraines; Miscarriage; Blood pressure high
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA03693

Write-up: Information has been received from a nurse practitioner through the pregnancy registry concerning a 19 year old female with asthma and genital warts and a history of migraines, miscarriage at 4 months of pregnancy and high blood pressure who on 01-FEB-2007 was vaccinated with the first dose of Gardasil (lot # 654741/0013U). Concomitant therapy included ADVAIR and trichloroacetic acid. On 25-JAN-2007 the patient was noted to be pregnant (last menstrual period was on 03-JAN-2007). On 03-FEB-2007 the patient was treated with 500 mg of CIPRO for gonorrhea. At the time of this report, the outcome of the events was unknown. No further details were provided. Additional information has been requested.

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