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This is VAERS ID 276108

Case Details

VAERS ID: 276108 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: North Carolina  
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:136
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dizziness, Drug exposure during pregnancy, Foetal heart rate, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CLARITIN; NASONEX
Current Illness: Pregnancy NOS (LMP = 10/05//2006); Food allergy
Preexisting Conditions: Migraine; Streptococcal infection; Pharyngitis;
Diagnostic Lab Data: Ultrasound, 12/11/2006, CRL 10.4 mm, positive fetal heartbeat, 7 1/2 weeks pregnant; urine beta-human , 12/05/2006 posit
CDC Split Type: WAES0701USA04121

Write-up: Information has been received as part of a pregnancy registry from a nurse practitioner concerning a 15 year old caucasion female with food allergies to coconut and mushrooms and a of history migraines, streptococcal infection and pharyngitis who on 20, Nov 2006 was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast), 0.5 mL by intramuscular injection, first dose (lot# 6539381/0954F). Concomitant medication included (CLARITIN) and (NASONEX). On 20, Nov 2006, the patient indicated that her last period was one week ago (13, Nov 2006). On 05, Dec 2006, the patient was seen in an clinic with complaints of nausea and dizziness and had a positive urine pregnancy test at that time. On 11, Dec 2006, the patient underwent and ultrasound which revealed that she was 7 1/2 weeks pregnant. CRL 10.4 mm, positive fetal heartbeat. Additional information is not expected. This is in follow-up to report(s) previously submitted on 4/6/2007. On 08-JAN-2007, the patient was placed on therapy with PHENERGAN, 25mg, one every 4 to 6 hours for the treatment of nausea and vomiting. Follow-up information was received from a certified medical assistant. On 30-JUL-2007, the patient delivered a liveform female infant (8 pounds, 2 ounces). The infant was normal and there were no congenital anomalies. No further information is expected.

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