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This is VAERS ID 278497

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278497
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Premature baby, 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? Yes, days: 0     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first do"se of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was


Changed on 12/8/2009

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 - UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - - UN / - UN

Administered by: Private      Purchased by: Unknown Other
Symptoms: Convulsion, Premature baby, 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? Yes, days: 0 (blank)     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first do"se dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 4/7/2010

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 8/31/2010

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 4/13/2011

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 5/13/2011

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 6/11/2011

278497 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 9/14/2017

278497 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-05-11
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 2 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UNK UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Premature baby, 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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA00475

Write-up:Information has been received from a manufacturer pregnancy registry via a registered nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies reported as none who in December 2006 was vaccinated with the first dose of Gardasil (lot #653736/0868F), 0.5 ml, IM. Concomitant therapy included MENACTRA. In February 2007, the patient was vaccinate with the second dose of Gardasil, 0.5 ml, IM. the nurse reported that the patient received 2 doses of Gardasil while she was pregnant. The patient stated that she did not know that she was pregnant. The patient received no prenatal care. The patient delivered a female infant with and estimated gestational age of 32-36 weeks on April 22 or 23, 2007. In April 2007 after delivery, the infant experienced seizures. The nurse reports that after delivery the infant was transferred to another hospital. After internal review, seizure was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278497&WAYBACKHISTORY=ON


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