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This is VAERS ID 279170

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279170
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Pregnancy test, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 1/10/2007), Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: Tonsillectomy
Allergies:
Diagnostic Lab Data: beta-human chorionic 01/??/07 -
CDC 'Split Type':

Write-up:Information has been received foe the Pregnancy Registry from an 18 year old female with penicillin allergy and sulfonamide allergy and a history of tonsillectomy who in January 2007, was vaccinated with the first dose of Gardasil. There was no concomitan"t medication. The same day of vaccination, the patient felt dizzy and tired. These events only lasted for one day and the patient recovered. Subsequently the patient learned that she is pregnant. The exact date of conception is not known; however, she bel


Changed on 12/8/2009

279170 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Fatigue, Pregnancy test, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 1/10/2007), Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: Tonsillectomy
Allergies:
Diagnostic Lab Data: beta-human chorionic 01/??/07 -
CDC 'Split Type': (blank) WAES0704USA01215

Write-up:Information has been received foe the Pregnancy Registry from an 18 year old female with penicillin allergy and sulfonamide allergy and a history of tonsillectomy who in January 2007, was vaccinated with the first dose of Gardasil. There was no concomitan"t concomitant medication. The same day of vaccination, the patient felt dizzy and tired. These events only lasted for one day and the patient recovered. Subsequently the patient learned that she is pregnant. The exact date of conception is not known; however, she bel believes it was right around the time of vaccination (LMP 10-JAN-2007, EDD 17-OCT-2007). With regard to her pregnancy, she has not had any adverse symptoms. Therapy was stopped when she learned she was pregnant. Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

279170 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Fatigue, Pregnancy test, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 1/10/2007), Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: Tonsillectomy
Allergies:
Diagnostic Lab Data: beta-human chorionic 01/??/07 -
CDC 'Split Type': WAES0704USA01215

Write-up:Information has been received foe the Pregnancy Registry from an 18 year old female with penicillin allergy and sulfonamide allergy and a history of tonsillectomy who in January 2007, was vaccinated with the first dose of Gardasil. There was no concomitant medication. The same day of vaccination, the patient felt dizzy and tired. These events only lasted for one day and the patient recovered. Subsequently the patient learned that she is pregnant. The exact date of conception is not known; however, she believes it was right around the time of vaccination (LMP 10-JAN-2007, EDD 17-OCT-2007). With regard to her pregnancy, she has not had any adverse symptoms. Therapy was stopped when she learned she was pregnant. Unspecified medical attention was sought. Additional information has been requested.


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