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This is VAERS ID 286707

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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

Administered by: Other      Purchased by: Unknown
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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':

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 #655619/142"7F). 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 pregn


Changed on 12/8/2009

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

Administered by: Other      Purchased by: Unknown Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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': (blank) 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 #655619/142"7F). #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 pregn 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.


Changed on 6/14/2014

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/14/2017

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

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

Administered by: Other      Purchased by: Other
Symptoms: Intra-uterine death, Smear cervix, Ultrasound scan, Drug exposure during pregnancy, Blood human chorionic gonadotropin positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=286707&WAYBACKHISTORY=ON


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