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This is VAERS ID 278128

Case Details

VAERS ID: 278128 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-03
Onset:0000-00-00
Submitted: 2007-05-07
Entered: 2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 2 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, 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: Paxil
Current Illness: None
Preexisting Conditions: Depression
Allergies:
Diagnostic Lab Data: + pregnancy test 5/7/07
CDC Split Type:

Write-up: Unknown pregnancy at time of vaccine about 6 weeks pregnant. See form - Pt. unknown pregnant at time vaccine given. Pt. didn''t have an adverse reaction.


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