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This is VAERS ID 282370

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282370
Age:20.0
Gender:Female
Location:Texas
Vaccinated:2007-02-19
Onset:2007-04-04
Submitted:2007-06-19
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN LO
Current Illness: Pregnancy NOS (LMP = 4/4/2007)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 20 year old female with no relevant medical history who on 19-FEB-2007 was vaccinated intramuscularly with a 0.5 mL first dose of Gardasil (lot 653735/0688F). Concomitant therapy included"Ortho Tri-Cyclen Lo. Subsequently, she became pregnant. Date of LMP was 04-APR-2007. The patient subsequently miscarried. The patient was seen in the emergency room on 14-MAY-2007 for the miscarriage. She was not admitted to the hospital. The patient call


Changed on 12/8/2009

VAERS ID: 282370 Before After
Age:20.0
Gender:Female
Location:Texas
Vaccinated:2007-02-19
Onset:2007-04-04
Submitted:2007-06-19
Entered:2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN LO
Current Illness: Pregnancy NOS (LMP = 4/4/2007)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA01990

Write-up:Information has been received from a registered nurse concerning a 20 year old female with no relevant medical history who on 19-FEB-2007 was vaccinated intramuscularly with a 0.5 mL first dose of Gardasil (lot 653735/0688F). Concomitant therapy included"Ortho included Ortho Tri-Cyclen Lo. Subsequently, she became pregnant. Date of LMP was 04-APR-2007. The patient subsequently miscarried. The patient was seen in the emergency room on 14-MAY-2007 for the miscarriage. She was not admitted to the hospital. The patient call called the office on 17-MAY-2007 to notify the physician of the miscarriage, but had not returned to the office for follow-up visits. Upon internal review, the patient''s spontaneous abortion was considered an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282370&WAYBACKHISTORY=ON


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