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This is VAERS ID 284177

Case Details

VAERS ID: 284177 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Pennsylvania  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:86
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, No adverse effect
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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 = 3/25/2007)
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA04027

Write-up: Information has been received from a physician and the consumer for the Pregnancy Registry for Gardasil concerning a 17 year old female with no pertinent medical history or drug reactions/allergies who on 20-MAR-2007 was vaccinated with first dose of Gardasil (lot number unknown) 0.5 mL injection. Concomitant therapy included vitamins (unspecified). The patient found out that she became pregnant on 25-MAR-2007. The patient sought medical attention. No ill effects were reported at this time. the estimated date of delivery is 30-DEC-2007. No further details were provided. Additional information has been requested.

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