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This is VAERS ID 281537

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281537
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-06-12
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abortion spontaneous, Pregnancy test, Drug exposure during pregnancy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Pregnancy NOS (LMP = 3/28/2007); Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: total serum human -
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 17 year old female patient with a drug allergy to erythromycin and no medical history, who on 21-FEB-2007 was vaccinated IM with a 0.5ml first dose of Gardasil (Lot# 655324/0089U). There w"as no concomitant medication. On 25-APR-2007 the patient received her second dose of the vaccine while pregnant (LMP 28-MAR-2007). On 16-MAY-2007, the patient experienced an uncomplicated spontaneous miscarriage. Unspecified medical attention was sought.


Changed on 12/8/2009

VAERS ID: 281537 Before After
Age:17.0
Gender:Female
Location:Michigan
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-06-12
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abortion spontaneous, Pregnancy test, Drug exposure during pregnancy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Pregnancy NOS (LMP = 3/28/2007); Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: total serum human -
CDC 'Split Type': (blank) WAES0706USA00513

Write-up:Information has been received from a registered nurse concerning a 17 year old female patient with a drug allergy to erythromycin and no medical history, who on 21-FEB-2007 was vaccinated IM with a 0.5ml first dose of Gardasil (Lot# 655324/0089U). There w"as was no concomitant medication. On 25-APR-2007 the patient received her second dose of the vaccine while pregnant (LMP 28-MAR-2007). On 16-MAY-2007, the patient experienced an uncomplicated spontaneous miscarriage. Unspecified medical attention was sought. It was reported that the patient has not required any treatment and has not experienced any further problems. Laboratory diagnostic studies included a quantitative HCG. At the time of this report, the patient was recovering. No product complaint was involved. Upon internal review, uncomplicated spontaneous miscarriage was considered to be an other important medical event. Additional information has been requested.


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