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This is VAERS ID 284889

Case Details

VAERS ID: 284889 (history)  
Age: 25.0  
Gender: Female  
Location: New York  
Vaccinated:2007-02-13
Onset:2007-02-13
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:142
Entered: 2007-07-13
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Haemorrhage, Ultrasound abdomen, Urine human chorionic gonadotropin positive
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tumour markers (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP=1/23/2007) Von Willebrand''s disease
Preexisting Conditions: Retinoblastoma; Eye excision
Diagnostic Lab Data: ultrasound 03/21/07, total serum human 03/21/07, urine beta-human 03/20/07 positive
CDC Split Type: WAES0703USA04764

Write-up: Information has been received from a physician for the Pregnancy Registry of Gardasil concerning a 25 year old female with Von Willebrand''s disease with a history of 0 pregnancies and 0 live births and a history of left retinoblastoma who on 13-DEC-2006 was vaccinated with Gardasil, lot # 654389/0961F. On 13-FEB-2007 she was vaccinated with Gardasil, lot # 656049/0187U expiration 29-SEP-2009. On 20-MAR-07 the patient went to the health clinic and a urine pregnancy test was performed and the results were positive (6 weeks gestation, LMP= approximately 23-JAN-2007). On 21-MAR-2007 the patient went to the hospital due to bleeding. A sonogram was performed and HCG levels were monitored. The patient was not hospitalized and she did not miscarry. The patient''s HCG levels are being monitored. The patient was not hospitalized and she did not miscarry. The patient''s HCG levels are being monitored. This is one of several reports received from the same source. Additional information has been requested.


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