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This is VAERS ID 279505

Case Details

VAERS ID: 279505 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: New Hampshire  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:75
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Cervical dysplasia, Drug exposure during pregnancy, Nausea, Smear cervix, Urine human chorionic gonadotropin positive
SMQs:, Acute pancreatitis (broad), Reproductive premalignant disorders (narrow), Tumour markers (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), Uterine and fallopian tube malignant tumours (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIRENA
Current Illness: Pregnancy NOS (LMP = 1/2/2007); Dysplasia
Preexisting Conditions: Loop electrosurgical excision procedure
Diagnostic Lab Data: cervical smear 03/05/07 - moderate dysplasia CIN, urine beta-human - positive
CDC Split Type: WAES0704USA04296

Write-up: Information has been received from a Certified Medical Assistant through Merck Pregnancy concerning a 23 year old female patient with moderate dysplasia of the cervix and a history of loop electrosurgical excision procedure (LEEP) who on 02-JAN-2007 was vaccinated IM in right deltoid with a first dose of Gardasil and had menstruation cycle on that day. On 27-FEB-2007 the patient was vaccinated IM in right deltoid with a second dose of Gardasil. Concomitant therapy included Mirena IUD birth control. On 05-MAR-2007 the patient presented to office experiencing nausea. Urine pregnancy test was performed and it was positive for pregnancy. The reporter stated that client had unusual history; her birth control was a Mirena IUD but on manual examination it was not found. The MA stated that it must have expulsed. She had a cervical smear (PAP) test done which showed moderate dysplasia. On 04-NOV-2006 patient had Leep procedure performed. The patient''s outcome was unknown. Additional information has been requested.

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