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This is VAERS ID 274320

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274320
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Serum Beta Human 01/29/07 positive for pregnancy.
Allergies:
Diagnostic Lab Data: Ultrasound 02/08/2007 positive for Pregnancy, serum beta-human 01/29/07 positive for pregnancy
CDC 'Split Type':

Write-up:Information has been received from a registered nurse, for the Pregnancy registry for Gardasil, concerning a 19 year old female with no known drug allergies and no pertinent medical history who on 03-NOV-2006 was vaccinated with first dose of Gardasil (lo"t # not reported) 0.5 ml in the left deltoid. There was no concomitant medication. On 05-JAN-2007, the patient was vaccinated with second dose of Gardasil (lot # not reported). The patient sought medical attention. Her last menstrual period was on 05-DEC-


Changed on 12/8/2009

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1425F / 1 UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE PHENERGAN (PROMETHAZINE); vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Serum Beta Human 01/29/07 positive for pregnancy. Anxiety
Allergies:
Diagnostic Lab Data: Ultrasound 02/08/2007 serum beta-human, 01/29/07, positive for Pregnancy, serum beta-human 01/29/07 positive for pregnancy pregnancy; Apgar score, 10/030/07, 8/9, baby;
CDC 'Split Type': (blank) WAES0702USA03765

Write-up:Information has been received from a registered nurse, for the Pregnancy registry for Gardasil, concerning a 19 year old female with no known drug allergies and no pertinent medical history who on 03-NOV-2006 was vaccinated with first dose of Gardasil (lo"t (lot # not reported) 0.5 ml in the left deltoid. There was no concomitant medication. On 05-JAN-2007, the patient was vaccinated with second dose of Gardasil (lot # not reported). The patient sought medical attention. Her last menstrual period was on 05-DEC- 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 has been requested. 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. 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.


Changed on 2/5/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE); (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: serum beta-human, 01/29/07, positive for pregnancy; Apgar score, 10/030/07, 10/03/07, 8/9, baby; ultrasound, 02/08/07, intrauterine pregnancy 6 weeks 3 days; subchoroinic hemorrhage; ultrasound, 05/16/07, normal anatomy scan; diagnostic microbiology,
CDC 'Split Type': WAES0702USA03765

Write-up:Information has been received from a registered nurse, for the Pregnancy registry for Gardasil, concerning a 19 year old female with no known drug allergies and no pertinent medical history who on 03-NOV-2006 was vaccinated with first dose of Gardasil (lot # not reported) 0.5 ml in the left deltoid. There was no concomitant medication. On 05-JAN-2007, the patient was vaccinated with second dose of Gardasil (lot # not reported). 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 has been requested. 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. 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.


Changed on 3/2/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 UN LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
Diagnostic Lab Data: serum beta-human, 01/29/07, positive for pregnancy; Apgar score, 10/03/07, 8/9, baby; ultrasound, 02/08/07, intrauterine pregnancy 6 weeks 3 days; subchoroinic hemorrhage; ultrasound, 05/16/07, normal anatomy scan; diagnostic microbiology,
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 allergies, and no pertinent medical a history of anxiety who on 03-NOV-2006 was vaccinated with first dose of Gardasil (lot # not reported) 653938/0954F) 0.5 ml in the left deltoid. There was no concomitant medication. Concomitant therapy included promethazine hydrochloride. On 05-JAN-2007, the patient was vaccinated with second dose of Gardasil GARDASIL (lot # not reported). 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 has been requested. 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. m


Changed on 4/7/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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 m


Changed on 6/2/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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 m


Changed on 7/31/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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 m


Changed on 8/31/2010

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Urine human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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 m


Changed on 1/4/2011

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Urine human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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 m medical records for this patient. Additional information is not expected.


Changed on 6/14/2014

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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.


Changed on 5/14/2017

274320 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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.


Changed on 9/14/2017

274320 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 2 LA / UN

Administered by: Other      Purchased by: Other
Symptoms: Abdominal discomfort, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive, Ultrasound scan normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: PHENERGAN (PROMETHAZINE) 25 mg; vitamins (unspecified)
Current Illness: Pregnancy NOS;
Preexisting Conditions: Anxiety
Allergies:
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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