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This is VAERS ID 282643

Case Details

VAERS ID: 282643 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Arizona  
   Days after vaccination:0
Submitted: 2007-06-21
   Days after onset:72
Entered: 2007-06-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dehydration, Drug exposure during pregnancy, Pregnancy test positive, Urinary tract infection, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), Dehydration (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 3/28/2007)
Preexisting Conditions:
Diagnostic Lab Data: serum beta-human 05/10/07 posit
CDC Split Type: WAES0706USA02323

Write-up: Information has been received from a nurse concerning a 17 year old female who on 19-JAN-2007 was vaccinated with IM with a 0.5 ml first dose of Gardasil (654389/0961F). On 10-APR-2007 was vaccinated with IM with a 0.5 ml second dose of Gardasil (657617/0384U). Concomitant therapy included vitamins (unspecified). On 10-MAY-2007 the patient was seen in the emergency department because she experienced vomiting and dehydration. On 10-MAY-2007 serum beta-human chorionic gonadotropin test diagnosed the patient as pregnant. The patient was treated with unspecified intravenous solution and ondansetron hydrochloride (ZOFRAN). Her last menstrual period was 28-MAR-2007. Estimated date of delivery was 02-JAN-2008. On approximately, 13-JUN-2007, the patient developed a urinary tract infection. The patient was treated with nitrofurantoin (MACROBID). The reporting nurse practitioner considered vomiting and dehydration and to be other important medical events. Additional information has been requested.

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