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This is VAERS ID 274320

Case Details

VAERS ID: 274320 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:67
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Abdominal discomfort, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Pregnancy test positive, Ultrasound scan normal
SMQs:, Tumour markers (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Diagnostic Lab Data: serum beta-human, 01/29/07, positive for pregnancy; Apgar score, 10/03/07, 8/9, baby; ultrasound, 02/08/07,
CDC Split Type: WAES0702USA03765

Write-up: This is in follow-up to report(s) previously submitted on 3/14/2007; 4/6/2007. Information has been received from a registered nurse, for the Pregnancy registry for Gardasil, concerning a 19 year old female with no previous pregnancies, no known drug allergies, and a history of anxiety who on 03-NOV-2006 was vaccinated with first dose of Gardasil (lot # 653938/0954F) 0.5 ml in the left deltoid. Concomitant therapy included promethazine hydrochloride. On 05-JAN-2007, the patient was vaccinated with second dose of GARDASIL (lot # 655165/1425) 0.5 ml. There was no concomitant medication. The patient sought medical attention. Her last menstrual period was on 05-DEC-2006. On 29-JAN-2007, the patient''s primary physician performed a quantitative beta blood test at the physician''s office which was positive for pregnancy. Estimate date of delivery is 11-SEP-2007. On 08-FEB-2007, the patient experienced abdominal discomfort and was sent to the hospital for an ultrasound which was positive for pregnancy. The patient was not hospitalized. At the time of reporting, the patient no longer had abdominal discomfort. Additional information was received from the registered nurse. On 08-FEB-2007, an ultrasound was performed for pain that revealed intrauterine pregnancy of 6 weeks and 5 days and subchorionic hemorrhage. On 16-MAY-2007, an ultrasound was performed that revealed normal anatomy scan. The estimated date of delivery was calculated as 30-SEP-2007. Additional information was received from the registered nurse. The patient''s LMP was on 25-DEC-2006. On 09-OCT-2007, 40 weeks from LMP, the patient delivered a female baby weighing 7 pounds 10 ounces. Apgar scale 8/9. The infant was reported as normal and healthy, no congenital anomalies and no complications. Additional information is not expected. 07/08/08 Follow-up information was obtained from a health professional in the physician''s office via voice mail. It was reported that they did see the baby one time in the hospital, but it was not their patient. They do not have any medical records for this patient. Additional information is not expected.

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