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This is VAERS ID 286707

Case Details

VAERS ID: 286707 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-08-02
Entered: 2007-08-03
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood human chorionic gonadotropin positive, Drug exposure during pregnancy, Intra-uterine death, Smear cervix, Ultrasound scan
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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Pregnancy NOS (LMP = 9/26/2006)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ultrasound 07/13/07 - 37 weeks gestation; cervical smear - unknown; beta-human chorionic - positive
CDC Split Type: WAES0707USA03886

Write-up: Information has been received from the Merck Pregnancy Registry via a medical assistant concerning a 17 Year old female with no pertinent past medical history who on 18-JAN-2007 was vaccinated intramuscularly with a first dose of Gardasil (Lot #655619/1427F). On an unspecified date the patient was vaccinated intramuscularly with the second dose of Gardasil (657005/0188U). There were no concomitant therapies. It was reported by the medical assistant that the patient did not let the staff know she was pregnant and the first and second doses of Gardasil were administered respectively. The patient''s last menstrual period was 26-SEP-2006. Estimated the patient''s pregnancy to be at least 37 weeks gestation. Subsequently the patient''s pregnancy ended in a fetal demise. Unspecified medical attention was sought. At the time of the report the patient''s outcome was unknown. Additional information has been requested.


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