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This is VAERS ID 284470

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284470
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-23
Onset:2007-05-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Vomiting, Drug exposure during pregnancy, Ultrasound abdomen, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Folic acid; Vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 2/26/2007); Asthma; Type II diabetes mellitus
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal ultrasound results not reported. Diagnostic laboratory results not reported.
CDC 'Split Type': WAES0705USA04349

Write-up:Information has been received through a pregnancy registry from two licensed practical nurses concerning a 21 year old female with asthma and type II diabetes mellitus who on 23-MAR-2007 was vaccinated with the first dose of Gardasil (lot #655618/0186U). On 18-APR-2007 the patient had a positive pregnancy test. The patient was vaccinated with the second dose on 23-MAY-2007 Gardasil (lot #657617/0384U). (It was also reported that this was the patients first dose). Concomitant therapy included prenatal vitamins (unspecified) and folic acid. Subsequently, on 23-MAY-2007 within one hour of the vaccine, the patient experienced dizziness, nausea and vomiting. The patient was prescribed promethazine hydrochloride (PHENERGAN) and symptoms are resolving. Patient had prenatal blood work and abdominal ultrasound, results not reported. The patient is pregnant with twins. The last menstrual period was 26-FEB-2007 with estimated delivery date is 03-DEC-2007. (The last menstrual period was also reported as 03-MAR-2007). Additional information has been requested.


Changed on 9/14/2017

284470 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-23
Onset:2007-05-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea, Vomiting, Drug exposure during pregnancy, Ultrasound abdomen, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Folic acid; Vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 2/26/2007); Asthma; Type II diabetes mellitus
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Abdominal ultrasound results not reported. Diagnostic laboratory results not reported.
CDC 'Split Type': WAES0705USA04349

Write-up:Information has been received through a pregnancy registry from two licensed practical nurses concerning a 21 year old female with asthma and type II diabetes mellitus who on 23-MAR-2007 was vaccinated with the first dose of Gardasil (lot #655618/0186U). On 18-APR-2007 the patient had a positive pregnancy test. The patient was vaccinated with the second dose on 23-MAY-2007 Gardasil (lot #657617/0384U). (It was also reported that this was the patients first dose). Concomitant therapy included prenatal vitamins (unspecified) and folic acid. Subsequently, on 23-MAY-2007 within one hour of the vaccine, the patient experienced dizziness, nausea and vomiting. The patient was prescribed promethazine hydrochloride (PHENERGAN) and symptoms are resolving. Patient had prenatal blood work and abdominal ultrasound, results not reported. The patient is pregnant with twins. The last menstrual period was 26-FEB-2007 with estimated delivery date is 03-DEC-2007. (The last menstrual period was also reported as 03-MAR-2007). Additional information has been requested.


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