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This is VAERS ID 284177

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284177
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: No adverse effect, Drug exposure during pregnancy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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':

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 Gard"asil (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


Changed on 12/8/2009

VAERS ID: 284177 Before After
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: No adverse effect, Drug exposure during pregnancy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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': (blank) 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 Gard"asil 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284177&WAYBACKHISTORY=ON


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