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This is VAERS ID 284706

Case Details

VAERS ID: 284706 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-29
Onset:2007-06-29
   Days after vaccination:31
Submitted: 2007-07-13
   Days after onset:14
Entered: 2007-07-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Abortion induced, Blood human chorionic gonadotropin positive, Drug exposure during pregnancy
SMQs:, Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Abilify, ascorbic acid, calcium (unspecified), Optimum Omega, Lamictal, pyridoxine, Valtrex, vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = 5/6/2007), Latex allergy
Preexisting Conditions: Bipolar disorder
Allergies:
Diagnostic Lab Data: beta-human chorionic - positive
CDC Split Type: WAES0706USA02076

Write-up: Information has been received from a licensed practical nurse through the Merck pregnancy concerning a female patient with latex allergy and a history of bipolar disorder who on 29-MAY-2007, was vaccinated IM with a first 0.5 ml dose of Gardasil (Lot# 655324/0089U). Concomitant therapy included lamotrigine (LAMICTAL), valacyclovir HCl (VALTREX), aripiprazole (ABILIFY), vitamins (unspecified), garlic extract (+) omega-3 marine triglycerides (+) vitamin E (OPTIMUM OMEGA), calcium (unspecified), ascorbic acid and pyridoxine. Subsequently, the nurse reported that the patient had a positive pregnancy test and will be terminating her pregnancy. Follow up information stated that the patient terminated her pregnancy on 29-JUN-2007. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Upon internal review, terminated her pregnancy was considered to be an other important medical event. Additional information has been requested.


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