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This is VAERS ID 279540

Case Details

VAERS ID: 279540 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy induced hypertension, Prenatal care
SMQs:, Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

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: PERCOCET; prednisone; MOTRIN; albuterol
Current Illness: Pregnancy NOS (LMP = 3/14/2007); Asthma; Back pain; Depression
Preexisting Conditions:
Diagnostic Lab Data: diagnostic laboratory - "prenatal ops"
CDC Split Type: WAES0704USA05008

Write-up: Information has been received from a physician through a Merck Pregnancy Registry concerning a female with asthma, back pain and depression who on 05-FEB-2007 was vaccinated intramuscularly with the first 0.5 mL dose of Gardasil (Lot # 654535/0960F). The date of the patient''s last menstrual period (LMP) was 14-MAR-2007. On 18-APR-2007, the patient was vaccinated, intramuscularly with the second 0.5 mL dose of Gardasil, (Lot # 654510/0962F). Concomitant therapy included PERCOCET, prednisone, MOTRIN and albuterol. It was reported that the patient was pregnant and had gestational hypertension. The patient sought unspecified medical attention. It was reported that the patient had laboratory evaluation of "prenatal ops". The estimated date of delivery was 19-DEC-2007. Additional information has been requested. Follow up information was received from the physician on 10-APR-2008 via telephone call. The physician reported that the patient had initiated her prenatal care with them, but then switched to another hospital for care. Additional information has been requested.

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