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This is VAERS ID 282267

Case Details

VAERS ID: 282267 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-02-21
Onset:2007-02-21
   Days after vaccination:0
Submitted: 2007-06-12
   Days after onset:110
Entered: 2007-06-19
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / UNK UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / UNK UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Tonsillitis
SMQs:, Agranulocytosis (broad), Tumour markers (narrow), Oropharyngeal infections (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Pregnancy NOS (LMP = 11/6/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Beta-human chorionic, posit; colonscopy, 10?/??/07;
CDC Split Type: WAES0703USA01310

Write-up: This is in follow-up to report(s) previously submitted on 6/12/2007. Information has been received from a nurse concerning an 18 year old female who on 21-FEB-2007 was vaccinated with Gardasil (lot no 654535/0960F). That same day, she was vaccinated with Menactra. The nurse reported that the patient lied about her last menstrual period because her mother was in the room and she was 3 1/2 pregnant when she was vaccinated. A pregnancy test was positive. Her LMP was 06-NOV-2006 and EDD 13-AUG-2007. She had not yet chosen an OB/GYN physician. Information received on 25-MAR-2007 contained the following adverse experience: The patient was treated with AMOXIL 875 mg twice daily from 07-MAR-2007 to 17-MAR-2007 for tonsillitis. Additional information has been requested.


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