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This is VAERS ID 282644

Case Details

VAERS ID: 282644 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Iowa  
Vaccinated:2006-10-27
Onset:2006-10-27
   Days after vaccination:0
Submitted: 2007-06-21
   Days after onset:237
Entered: 2007-06-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Pregnancy test positive, Talipes, Umbilical cord abnormality
SMQs:, Congenital, familial and genetic disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Miscarriage
Allergies:
Diagnostic Lab Data: beta-human chorionic 12/03/06 - positive
CDC Split Type: WAES0706USA01399

Write-up: Initial and follow-up information has been received through the Merck pregnancy registry from a registered nurse concerning an 18 year old female with 1 previous pregnancy that resulted in miscarriage, who on 27-OCT-2006 was vaccinated with the first dose of Gardasil (lot # 653937/0637F) when she was 17 1/7 weeks pregnant, last menstrual period 29-JUN-2006. Concomitant medication included hormonal contraceptives (unspecified). On 03-DEC-2006 the patient found out she was pregnant via a home beta-human chorionic gonadotropin test (unspecified) and concomitant medication was stopped. A full term baby was born on 25-MAR-2007. Subsequently, the infant was born with a left club foot and two vessel umbilical cord. On 04-MAY-2007 the patient was vaccinated with the second dose of Gardasil (lot # 0210U). There were no other birth defects in the family. The nurse felt that the left club foot and two vessel umbilical cord were other important medical events. This is one of two patients received from the same source. This is an amended report. The terms Medication error and No adverse effect and information regarding the events have been deleted from this report and entered into WAES 0701USA02073.


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