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This is VAERS ID 276108

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276108
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653938/0954 / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Pregnancy, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, Nasonex
Current Illness:
Preexisting Conditions: Migraine; Streptococcal infection; Pharyngitis; Pregnancy NOS (LMP = 10/05//2006) Food allergy
Allergies:
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':

Write-up:Information has been received as part of a pregnancy registry from a nurse practitioner concerning a 16 year old female with food allergies to coconut and mushrooms and a of history migraines, streptococcal infection and pharyngitis who on 20, Nov 2006 wa"s 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 wee


Changed on 12/8/2009

276108 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653938/0954 / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, Nasonex
Current Illness:
Preexisting Conditions: Migraine; Streptococcal infection; Pharyngitis; Pregnancy NOS (LMP = 10/05//2006) Food allergy
Allergies:
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': (blank) WAES0701USA04121

Write-up:Information has been received as part of a pregnancy registry from a nurse practitioner concerning a 16 year old female with food allergies to coconut and mushrooms and a of history migraines, streptococcal infection and pharyngitis who on 20, Nov 2006 wa"s 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 wee 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


Changed on 2/5/2010

276108 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653938/0954 0954F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin, Nasonex CLARITIN; NASONEX
Current Illness: Pregnancy NOS (LMP = 10/05//2006); Food allergy
Preexisting Conditions: Migraine; Streptococcal infection; Pharyngitis; Pregnancy NOS (LMP = 10/05//2006) Food allergy
Allergies:
Diagnostic Lab Data: Ultrasound, 12/11/2006, CRL 10.4 mm, positive fetal heartbeat, 7 1/2 weeks pregnant. Urine 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 16 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 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.


Changed on 6/14/2014

276108 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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;
Allergies:
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.


Changed on 5/14/2017

276108 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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;
Allergies:
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.


Changed on 9/14/2017

276108 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-20
Onset:2006-11-20
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Pregnancy, Pregnancy test urine positive, Ultrasound scan, Drug exposure during pregnancy, Foetal heart rate

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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;
Allergies:
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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