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This is VAERS ID 276862

Case Details

VAERS ID: 276862 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: New York  
Vaccinated:2007-01-17
Onset:2007-01-22
   Days after vaccination:5
Submitted: 2007-04-13
   Days after onset:80
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood human chorionic gonadotropin decreased, Drug exposure during pregnancy, Metrorrhagia, Progesterone, Progesterone decreased, Ultrasound scan
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Fertility disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 1/22/2007)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 02?/??/07 - Low, serum beta-human 02?/??/07 - Positive, serum progesterone test 02?/??/07
CDC Split Type: WAES0703USA04162

Write-up: This is in follow-up to report (s) previously submitted on 4/23/2007. Information has been received through the pregnancy registry, from a registered nurse, concerning a 25 year old female patient, who on 17-JAN-2007 was vaccinated with the first dose, 0.5ML, IM, of Gardasil (Lot # 655617/1447F). There was no concomitant medication. The nurse reported that the patient is pregnant. The date of the last LMP was 22-JAN-2007, with an estimated date of delivery on 29-OCT-2007. Pregnancy was confirmed by a positive serum pregnancy test and a "fetal ultrasound" was performed (results not provided). The nurse stated that on 23-FEB-2007, the patient experienced vaginal spotting; she added the patient also had a "low" serum progesterone level (date and result not provided). Subsequently, the patient recovered from the vaginal spotting (date unspecified). It was unknown if the low serum progesterone recovered. The patient sought unspecified medical attention. Additional information has been requested. Follow-up phone call information was received from a registered nurse who reported that the patient delivered a normal, healthy full term baby on 13-OCT-2007. There were no reported complications with the birth whatsoever. The VAERS number is 276862. No additional information is expected.


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