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This is VAERS ID 278067

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278067
VAERS Form:
Age:17.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-02
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pregnancy test positive, Drug exposure during pregnancy

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:
Current Illness: none reported
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: positive urine HCG on 4/24/07
CDC 'Split Type':

Write-up:positive pregnancy test on 4/24/07; HPV4 #2 given 04/02/07


Changed on 12/8/2009

278067 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-02
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pregnancy test positive, Drug exposure during pregnancy

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:
Current Illness: none reported
Preexisting Conditions: none reported
Allergies:
Diagnostic Lab Data: positive urine HCG on 4/24/07
CDC 'Split Type': (blank) VA07007

Write-up:positive pregnancy test on 4/24/07; HPV4 #2 given 04/02/07


Changed on 2/13/2013

278067 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-02
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pregnancy test positive, Drug exposure during pregnancy

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:
Current Illness: none None reported
Preexisting Conditions: none None reported
Allergies:
Diagnostic Lab Data: positive Positive urine HCG on 4/24/07
CDC 'Split Type': VA07007

Write-up:positive Positive pregnancy test on 4/24/07; HPV4 #2 given 04/02/07 04/02/07.


Changed on 9/14/2017

278067 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Virginia
Vaccinated:2007-04-02
Onset:0000-00-00
Submitted:2007-05-07
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pregnancy test positive, Drug exposure during pregnancy

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:
Current Illness: None reported
Preexisting Conditions: None reported
Allergies:
Diagnostic Lab Data: Positive urine HCG on 4/24/07
CDC 'Split Type': VA07007

Write-up:Positive pregnancy test on 4/24/07; HPV4 #2 given 04/02/07.


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