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This is VAERS ID 274755

Case Details

VAERS ID: 274755 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Virginia  
   Days after vaccination:0
Submitted: 2007-03-23
   Days after onset:59
Entered: 2007-03-26
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Abortion induced, Drug exposure during pregnancy, Pregnancy test
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (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: UNK
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: beta-human chorionic
CDC Split Type: WAES0702USA01337

Write-up: Information has been received from a licensed practical nurse concerning a 15 year old female student who on 22-JAN-2007 was vaccinated intramuscularly in the left arm with a 0.5ml first dose of Gardasil (lot #653736/0868F). On 02-FEB-2007, it was discovered that the patient was pregnant. At the time of this report, the patient''s last menstrual period was unknown. The patient sought unspecified medical attention and she was referred to an obstetrician/gynecologist. A pregnancy test was performed. On an unspecified date, the pregnancy was terminated. At the time of this report, the outcome was unknown. No product quality complaint was involved. Upon internal review, pregnancy was terminated was considered to be an other important medical event. Additional information is not expected.

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