National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279208

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279208
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain, Culture urine positive, Drug exposure during pregnancy, Chlamydia serology, Streptococcus identification test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP=3/1/2007)
Allergies:
Diagnostic Lab Data: diagnostic urinalysis 03/28/07 cloudy, trace blood, epithelial cells, Group B strep bacteria, Chlamydia trachomatis 03/28/07 negative, urine beta-human 03/28/07 negative, urine beta-human 04/09/07 positive
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning an 18 year old female with no known allergies who on 20-MAR-2007 was vaccinated with Gardasil (lot #655205/1426F). On 28-MAR-2007, the patient experienced abdominal pain. HCG was negative"on that day. The patient was tested for Chlamydia, which was negative. The patient''''s urine was also tested which was cloudy and showed trace blood, epithelial cells and bacteria (Group B streptococcus). The patient was given a shot of ceftriaxone (ROCEPH


Changed on 12/8/2009

279208 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain, Culture urine positive, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive, Urine analysis abnormal, Chlamydia serology, Streptococcus identification test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP=3/1/2007)
Allergies:
Diagnostic Lab Data: diagnostic urinalysis 03/28/07 cloudy, trace blood, epithelial cells, Group B strep bacteria, Chlamydia trachomatis 03/28/07 negative, urine beta-human 03/28/07 negative, urine beta-human 04/09/07 positive
CDC 'Split Type': (blank) WAES0704USA02517

Write-up:Information has been received from a health professional concerning an 18 year old female with no known allergies who on 20-MAR-2007 was vaccinated with Gardasil (lot #655205/1426F). On 28-MAR-2007, the patient experienced abdominal pain. HCG was negative"on negative on that day. The patient was tested for Chlamydia, which was negative. The patient''''s patient''s urine was also tested which was cloudy and showed trace blood, epithelial cells and bacteria (Group B streptococcus). The patient was given a shot of ceftriaxone (ROCEPH (ROCEPHIN) and azithromycin (ZITHROMAX) as a precaution. The patient''s abdominal pain subsequently resolved. On 09-APR-2007, the patient took a home pregnancy test which was positive. The patient''s last menstrual period was 01-MAR-2007 with a EDC of 06-DEC-2007. Additional information has been requested.


Changed on 6/14/2014

279208 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Culture urine positive, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive, Urine analysis abnormal, Chlamydia serology, Streptococcus identification test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP=3/1/2007)
Allergies:
Diagnostic Lab Data: diagnostic urinalysis 03/28/07 cloudy, trace blood, epithelial cells, Group B strep bacteria, Chlamydia trachomatis 03/28/07 negative, urine beta-human 03/28/07 negative, urine beta-human 04/09/07 positive
CDC 'Split Type': WAES0704USA02517

Write-up:Information has been received from a health professional concerning an 18 year old female with no known allergies who on 20-MAR-2007 was vaccinated with Gardasil (lot #655205/1426F). On 28-MAR-2007, the patient experienced abdominal pain. HCG was negative on that day. The patient was tested for Chlamydia, which was negative. The patient''s urine was also tested which was cloudy and showed trace blood, epithelial cells and bacteria (Group B streptococcus). The patient was given a shot of ceftriaxone (ROCEPHIN) and azithromycin (ZITHROMAX) as a precaution. The patient''s abdominal pain subsequently resolved. On 09-APR-2007, the patient took a home pregnancy test which was positive. The patient''s last menstrual period was 01-MAR-2007 with a EDC of 06-DEC-2007. Additional information has been requested.


Changed on 5/14/2017

279208 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Culture urine positive, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive, Urine analysis abnormal, Chlamydia serology, Streptococcus identification test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP=3/1/2007)
Allergies:
Diagnostic Lab Data: diagnostic urinalysis 03/28/07 cloudy, trace blood, epithelial cells, Group B strep bacteria, Chlamydia trachomatis 03/28/07 negative, urine beta-human 03/28/07 negative, urine beta-human 04/09/07 positive
CDC 'Split Type': WAES0704USA02517

Write-up:Information has been received from a health professional concerning an 18 year old female with no known allergies who on 20-MAR-2007 was vaccinated with Gardasil (lot #655205/1426F). On 28-MAR-2007, the patient experienced abdominal pain. HCG was negative on that day. The patient was tested for Chlamydia, which was negative. The patient''s urine was also tested which was cloudy and showed trace blood, epithelial cells and bacteria (Group B streptococcus). The patient was given a shot of ceftriaxone (ROCEPHIN) and azithromycin (ZITHROMAX) as a precaution. The patient''s abdominal pain subsequently resolved. On 09-APR-2007, the patient took a home pregnancy test which was positive. The patient''s last menstrual period was 01-MAR-2007 with a EDC of 06-DEC-2007. Additional information has been requested.


Changed on 9/14/2017

279208 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1426F / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Culture urine positive, Drug exposure during pregnancy, Urine human chorionic gonadotropin negative, Urine human chorionic gonadotropin positive, Urine analysis abnormal, Chlamydia serology, Streptococcus identification test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP=3/1/2007)
Allergies:
Diagnostic Lab Data: diagnostic urinalysis 03/28/07 cloudy, trace blood, epithelial cells, Group B strep bacteria, Chlamydia trachomatis 03/28/07 negative, urine beta-human 03/28/07 negative, urine beta-human 04/09/07 positive
CDC 'Split Type': WAES0704USA02517

Write-up:Information has been received from a health professional concerning an 18 year old female with no known allergies who on 20-MAR-2007 was vaccinated with Gardasil (lot #655205/1426F). On 28-MAR-2007, the patient experienced abdominal pain. HCG was negative on that day. The patient was tested for Chlamydia, which was negative. The patient''s urine was also tested which was cloudy and showed trace blood, epithelial cells and bacteria (Group B streptococcus). The patient was given a shot of ceftriaxone (ROCEPHIN) and azithromycin (ZITHROMAX) as a precaution. The patient''s abdominal pain subsequently resolved. On 09-APR-2007, the patient took a home pregnancy test which was positive. The patient''s last menstrual period was 01-MAR-2007 with a EDC of 06-DEC-2007. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279208&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166