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This is VAERS ID 278128

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278128
VAERS Form:
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 / 1 LA / -

Administered by: Private      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: 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.


Changed on 12/8/2009

278128 Before After
VAERS Form:
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 / 1 LA / -

Administered by: Private      Purchased by: Unknown Other
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: 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.


Changed on 3/2/2010

278128 Before After
VAERS Form:
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 / 1 LA / -

Administered by: Private      Purchased by: Other
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: 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.


Changed on 6/14/2014

278128 Before After
VAERS Form:
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 / 1 LA / -

Administered by: Private      Purchased by: Other
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: 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.


Changed on 5/14/2017

278128 Before After
VAERS Form:
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 / 1 LA / -

Administered by: Private      Purchased by: Other
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: 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.


Changed on 9/14/2017

278128 Before After
VAERS Form:(blank) 1
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 / 1 2 LA / -

Administered by: Private      Purchased by: Other
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: 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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