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This is VAERS ID 281095

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281095
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-06-08
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, Talipes, Umbilical cord abnormality, Drug exposure during pregnancy, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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':

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 atte"ntion 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 we


Changed on 12/8/2009

281095 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-06-08
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, Talipes, Umbilical cord abnormality, Drug exposure during pregnancy, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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': (blank) 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 atte"ntion 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 we 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.


Changed on 9/14/2017

281095 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Iowa
Vaccinated:2007-01-15
Onset:2007-01-15
Submitted:2007-06-08
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Medication error, Talipes, Umbilical cord abnormality, Drug exposure during pregnancy, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) 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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