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This is VAERS ID 284856

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284856
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-03
Onset:2007-06-04
Submitted:2007-07-16
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abortion spontaneous, Ectopic pregnancy, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: urine beta-human 06/04/07 positive
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 26 year old female with no relevant medical history reported who on 03-APR-2007 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. There was no concomitant medication. on 04-JU"N-2007, the patient returned to the office for her second dose of Gardasil. Dose 2 was not given because she tested positive for pregnancy on that day. In June 2007, the patient had a miscarriage. It was determined that the patient experienced an ectopic


Changed on 12/8/2009

VAERS ID: 284856 Before After
Age:26.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-03
Onset:2007-06-04
Submitted:2007-07-16
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abortion spontaneous, Ectopic pregnancy, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Diagnostic Lab Data: urine beta-human 06/04/07 positive
CDC 'Split Type': (blank) WAES0707USA01083

Write-up:Information has been received from a registered nurse concerning a 26 year old female with no relevant medical history reported who on 03-APR-2007 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. There was no concomitant medication. on 04-JU"N-2007, 04-JUN-2007, the patient returned to the office for her second dose of Gardasil. Dose 2 was not given because she tested positive for pregnancy on that day. In June 2007, the patient had a miscarriage. It was determined that the patient experienced an ectopic pregnancy. The patient returned to the office on 06-JUL-2007 to receive dose 2 of Gardasil. The nurse reported that the patient was "fine now". Upon internal review, ectopic pregnancy and miscarriage were determined to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284856&WAYBACKHISTORY=ON


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