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This is VAERS ID 276105

Case Details

VAERS ID: 276105 (history)  
Age: 24.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-11-08
Onset:2006-11-08
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:148
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Nausea, Otitis media, Ultrasound scan normal
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

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 = 10/15/2006)
Preexisting Conditions:
Diagnostic Lab Data: Ultrasound, 02/09/07, within normal limits
CDC Split Type: WAES0611USA07318

Write-up: Information has been received from a registered nurse concerning a 24 year old female who on 13, Sep 2006 and 08, Nov 2006 was vaccinated intramuscularly with a first and second 0.5 mL dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot # 653650/0640F). There was no concomitant medication. In approximately November 2006, the patient became pregnant about 3 weeks before she was vaccinated with her second dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). The patient''s last menstrual period was 15, Oct 2006 and her estimated due data is 22, Jul 2007. No symptoms were noted. The patient sought unspecified medical attention. Other medications used during pregnancy included amoxicillin (+) clavolanate potassium (AUGMENTIX) started on 28, Nov 2006 875mg, twice a day for otitis media, ampicillin started on 04, Dec 2006 500 mg once a day administered for nausea due to amoxicillin (+) clevulanate potassium (AUGMENTIN), and prenatal vitamins started on 28, Nov 2006. Additional information has been requested. 01/07/2008 This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a registered nurse concerning a 24 year old female with a history one previous pregnancy and one live birth, who on 13-SEP-2006 and 08-NOV-2006 was vaccinated intramuscularly with a first and second 0.5 ml dose of GARDASIL (Lot# 653650/0640F). There was no concomitant medication. In approximately November 2006, the patient became pregnant about 3 weeks before she was vaccinated with her second dose of GARDASIL. The patient''s last menstrual period was 15-OCT-2006 and her estimated due date is 22-JUL-2007. On approximately 28-NOV-2006 the patient experienced otitis media. On approximately 04-DEC-2006 the patient was nauseated. On 09-FEB-2007, the patient had an ultrasound which was within normal limits. The patient sought unspecified medical attention. Other medications used during pregnancy included AUGMENTIN, started on 28-NOV-2006, 875 mg, twice a day for otitis media, ampicillin started on 04-DEC-2006, 500 mg once a day administered for nausea due to AUGMENTIN, and prenatal vitamins started on 28-NOV-2006. Additional information is not expected.


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