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This is VAERS ID 278481

Case Details

VAERS ID: 278481 (history)  
Form: Version 1.0  
Gender: Unknown  
Location: Iowa  
Submitted: 2007-05-09
Entered: 2007-05-14
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0868F / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Convulsion, Drug exposure during pregnancy
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

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? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: HYDROCODONE
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 200701505

Write-up: Initial report received on 01 May 2007 from a health care professional. A neonate patient had received on 05 December 2006, transplacental vaccination with Menactra (lot# U1809AA), 0.5 ml intra-muscular into the right deltoid, and Gardasil (lot# 0868F), 0.5 ml intra-muscular into the left deltoid. The patient''s mom was unaware of pregnancy prior, therefore did not have prenatal care. The patient''s mother experienced abdominal pain prior to going to the hospital and took hydrocodone prior to going to the hospital, when she delivered a baby on 23 April 2007. Meconium stated upon delivery. Baby was having seizures and was transferred to neonatal care where baby remained. The reporter denied that the patient''s mother was on current medications. The patient''s mother medical history included recurrent tonsillitis. The mother case number is 2007-01504.

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