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This is VAERS ID 277166

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 277166 (history)  
Form: Version .0  
Age: 26.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-27
Onset:2007-03-27
   Days after vaccination:0
Submitted: 2007-04-20
   Days after onset:24
Entered: 2007-04-23
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion spontaneous, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Full blood count, Pregnancy test positive
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Miscarriage
Allergies:
Diagnostic Lab Data: pelvic ultrasound 04/09/07 spontaneous abortion; complete blood cell Result not reported; total serum human 03/28/07 positive
CDC Split Type:

Write-up: Information has been received from a physician for the Pregnancy registry for GARDASIL, concerning a 26 year old female patient with a history of first trimester miscarriage in 2006 who on 25-JAN-2007 was vaccinated IM with a first dose of HPV. The physic"ian reported that on 27-MAR-2007 the patient was vaccinated with second dose of HPV and had a positive pregnancy test the next day. The patient presented to the physician''''s office on 09-APR-2007 with vaginal bleeding and a pelvic ultrasound determined th


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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=277166


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