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This is VAERS ID 282267

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282267
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness: Pregnancy NOS (LMP = 11/6/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: beta-human chorionic posit
CDC 'Split Type':

Write-up: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 men"strual 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-200


Changed on 12/8/2009

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness: Pregnancy NOS (LMP = 11/6/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: beta-human chorionic posit chorionic, posit; colonscopy, 10?/??/07;
CDC 'Split Type': (blank) WAES0703USA01310

Write-up: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 men"strual 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-200 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. Follow up information received from a nurse at the physician''s office indicated that there was no information regarding a pregnancy for the patient. She noted that on 10-AUG-2007, the patient visited the office and a dose of GARDASIL (lot # not reported) was administered. On 17-SEP-2007, the patient again visited the office (reason not specified). On 16-OCT-2007, the patient had an abnormal pap smear, and shortly after underwent a colonscopy. At that time she was referred to an OB-GYN (contact information provided). Additional information has been requested.


Changed on 2/5/2010

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness: Pregnancy NOS (LMP = 11/6/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: beta-human Beta-human chorionic, posit; colonscopy, 10?/??/07;
CDC 'Split Type': WAES0703USA01310

Write-up: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. Follow up information received from a nurse at the physician''s office indicated that there was no information regarding a pregnancy for the patient. She noted that on 10-AUG-2007, the patient visited the office and a dose of GARDASIL (lot # not reported) was administered. On 17-SEP-2007, the patient again visited the office (reason not specified). On 16-OCT-2007, the patient had an abnormal pap smear, and shortly after underwent a colonscopy. At that time she was referred to an OB-GYN (contact information provided). Additional information has been requested. This is in follow-up to report (s) previously submitted on 6/12/2007; 7/6/2007; 4/7/2008. Follow up information from a receptionist at the physician''s office indicated that the patient was considered to be lost to follow up. No additional details were provided. Additional information is not expected.


Changed on 3/2/2010

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) 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 AMOXIL 875 mg twice daily from 07-MAR-2007 to 17-MAR-2007 for tonsillitis. Additional information has been requested. Follow up information received from a nurse at the physician''s office indicated that there was no information regarding a pregnancy for the patient. She noted that on 10-AUG-2007, the patient visited the office and a dose of GARDASIL (lot # not reported) was administered. On 17-SEP-2007, the patient again visited the office (reason not specified). On 16-OCT-2007, the patient had an abnormal pap smear, and shortly after underwent a colonscopy. At that time she was referred to an OB-GYN (contact information provided). Additional information has been requested. This is in follow-up to report (s) previously submitted on 6/12/2007; 7/6/2007; 4/7/2008. Follow up information from a receptionist at the physician''s office indicated that the patient was considered to be lost to follow up. No additional details were provided. Additional information is not expected.


Changed on 4/7/2010

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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


Changed on 4/13/2011

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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


Changed on 5/13/2011

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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


Changed on 6/11/2011

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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


Changed on 5/14/2017

282267 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Colonoscopy, Smear cervix abnormal, Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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


Changed on 9/14/2017

282267 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Louisiana
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-06-12
Entered:2007-06-19
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: Tonsillitis, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

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