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This is VAERS ID 282153

Case Details

VAERS ID: 282153 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-04-18
Onset:2007-06-01
   Days after vaccination:44
Submitted: 2007-06-04
   Days after onset:3
Entered: 2007-06-18
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Drug exposure during pregnancy, Pregnancy test positive
SMQs:, 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UPT positive on 6/1/07
CDC Split Type: LA070602

Write-up: Gardasil vaccine administered without difficulty or reaction. RN notified that patient is pregnant approximately 10 weeks. Patient would have been 3 3/7 weeks at administration.


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