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This is VAERS ID 284390

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284390
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-04-13
Onset:2007-05-01
Submitted:2007-07-11
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0137U / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abortion spontaneous, Amenorrhoea, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: beta-human chorionic 05/01/07 29576 - positive, beta-human chorionic 05/16/07 74136
CDC 'Split Type':

Write-up:Initial and follow-up information has been received from a physician for the Pregnancy Registry for Gardasil concerning a 16 year old female with no medical history or previous pregnancies who on 13-APR-2007 was vaccinated intramuscularly with a 0.5 mL do"se of Gardasil (lot # 655165/0137U). Concomitant therapy included pre-natal vitamins. On 01-MAY-2007 a pregnancy test was performed because of amenorrhea and found to be positive with an HCG results of 29576. The estimated conception date was 7 weeks and


Changed on 12/8/2009

VAERS ID: 284390 Before After
Age:16.0
Gender:Female
Location:Florida
Vaccinated:2007-04-13
Onset:2007-05-01
Submitted:2007-07-11
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0137U / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abortion spontaneous, Amenorrhoea, Pregnancy test positive, Drug exposure during pregnancy, Blood human chorionic gonadotropin increased

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: beta-human chorionic 05/01/07 29576 - positive, beta-human chorionic 05/16/07 74136
CDC 'Split Type': (blank) WAES0705USA00509

Write-up:Initial and follow-up information has been received from a physician for the Pregnancy Registry for Gardasil concerning a 16 year old female with no medical history or previous pregnancies who on 13-APR-2007 was vaccinated intramuscularly with a 0.5 mL do"se dose of Gardasil (lot # 655165/0137U). Concomitant therapy included pre-natal vitamins. On 01-MAY-2007 a pregnancy test was performed because of amenorrhea and found to be positive with an HCG results of 29576. The estimated conception date was 7 weeks and the estimated delivery date was 22-DEC-2007 (LMP was not known). On 16-MAY-2007, an additional HCG test was performed with a result of 74136. The patient sought unspecified medical attention. In May 2007, the patient experienced a spontaneous abortion. It was noted that the patient was currently under a physician''s care and that she was permitted to return to normal activities without limitations. At the time of this report, the outcome was unknown. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284390&WAYBACKHISTORY=ON


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