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This is VAERS ID 284707

Case Details

VAERS ID: 284707 (history)  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-16
Onset:2007-02-16
   Days after vaccination:0
Submitted: 2007-07-13
   Days after onset:146
Entered: 2007-07-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Premature baby
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Neonatal disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0707USA00454

Write-up: Information has been received from a nurse practitioner as part of the pregnancy registry for Gardasil concerning a 17 year old female with no history of drug reactions/allergy who on 16-FEB-2007 was vaccinated with a first dose of Gardasil (lot # 656049/0187U) 0.5 ml IM. On 06-JUN-2007, was vaccinated with a second dose of Gardasil (lot # 657736/0389U). There was no concomitant medication. Medical attention was sought. It was reported that the patient did not know she was pregnant until a baby was delivered on the patient''s bathroom floor on 21-JUN-2007 at an approximated gestation of 30 weeks. Estimated date of delivery September 2007. The baby died eight days later on 29-JUN-2007 of schizencephaly. The patient claimed to be unaware of her pregnancy because she had her menstrual periods throughout her pregnancy and did not gain weight. The patient had no prenatal care. No other information was available at the time of reporting. Additional information has been requested.


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