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This is VAERS ID 281095

Case Details

VAERS ID: 281095 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Iowa  
Vaccinated:2007-01-15
Onset:2007-01-15
   Days after vaccination:0
Submitted: 2007-06-08
   Days after onset:143
Entered: 2007-06-11
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug exposure during pregnancy, Foetal disorder, Medication error, Talipes, Umbilical cord abnormality
SMQs:, Congenital, familial and genetic disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Medication errors (narrow)

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 = 6/29/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0701USA02073

Write-up: Information has been received from a registered nurse concerning a patient who on 15-JAN-2007 was vaccinated with a dose of Gardasil that had been improperly stored. It was noted that the patient was not experiencing any symptoms. Unspecified medical attention was sought. No product quality complaint was involved. Follow-up information has been received through the Merck pregnancy registry from a nurse concerning an 18 year old female who on 27-OCT-2006 was vaccinated with Gardasil, when she was 17 1/7 weeks pregnant, LMP 29-JUN-2006, EDD 05-APR-2007). Subsequently, the infant was born with a left club foot and two vessel umbilical cord. The nurse felt that the left club foot and two vessel umbilical cord were other important medical events. Additional information has been requested.


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