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This is VAERS ID 288456

Case Details

VAERS ID: 288456 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-08-01
Onset:0000-00-00
Submitted: 2007-08-17
Entered: 2007-08-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (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: Unknown
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0708USA01821

Write-up: Information has been received from a health professional concerning a 17 year old female, who on 12-JUL-2007 was vaccinated with a first 0.5mL dose of Gardasil. At the time of the first vaccination the patient was unaware that she was three weeks pregnant. In August 2007 the patient was vaccinated with a second dose of Gardasil. The patient miscarried sometime between the first dose and the second dose. The patient sought unspecified medical attention. At the time of the report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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