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This is VAERS ID 279562

Case Details

VAERS ID: 279562 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Oklahoma  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:165
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chlamydia serology, Coombs indirect test negative, Culture urine negative, Full blood count normal, HIV antibody negative, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Syphilis test, Trichomoniasis, Urinary tract infection, Urine analysis abnormal, White blood cell count increased
SMQs:, Neuroleptic malignant syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions:
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antibody screen, 04/12/2007, negative; indirect Coombs'', 04/12/2007, negative; serum beta-human, 04/12/2007, 24529; serum beta-human, 04/16/2007, 54860; serum hepatitis B, 04/12/2007, negative; serum rubella IgG, 04/12/2007, immune; urinalysis, 11/29/2006, small blood, large leukocytes, too many WBCs to count; urinalysis, 12/14/2006, trichomoniasis and too many WBCs to count; urinalysis, 03/15/2007, negative; urine culture, 03/15/2007, negative for gonorrhea and chlamydia
CDC Split Type: WAES0704USA05775

Write-up: This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.

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