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This is VAERS ID 288630

Case Details

VAERS ID: 288630 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-01-30
Onset:0000-00-00
Submitted: 2007-08-21
Entered: 2007-08-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Alpha 1 foetoprotein amniotic fluid normal, Caesarean section, Drug exposure during pregnancy, Pre-eclampsia, Pregnancy, Pregnancy test positive, Premature labour, Ultrasound scan normal
SMQs:, Hypertension (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (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: albuterol, QVAR 80 microgm
Current Illness: Pregnancy NOS (LMP = 11/27/2006); Asthma
Preexisting Conditions: Termination of Pregnancy - elective
Allergies:
Diagnostic Lab Data: ultrasound 05/02/07 - negative; beta-human chorionic 05/23/07 - positive; serum alpha-fetoprotein 04/11/07 - negative
CDC Split Type: WAES0705USA05442

Write-up: Initial and follow up information has been received as part of a pregnancy registry from a nurse practitioner concerning a 17 year old female with asthma, who in January 2007, was vaccinated with a 0.5mL dose of Gardasil (Lot# 653938/0954F). Concomitant medications included albuterol inhaler ("last used winter during allergy season") and Qvar. On 27-NOV-2006 the patient became pregnant. On 23-MAY-2007, the patient underwent a lab test that was positive and revealed that she was 23 weeks and 5 days pregnant. The patient''s last menstrual period was 27-NOV-2006 and her estimated date of delivery was 03-SEP-2007. The patient had two previous births resulting in elective abortions. On 11-APR-2007 an alpha-fetalprotein test was taken and the results were negative. On 02-MAY-2007 an ultrasound was taken and the results were negative. The patient experienced pre-eclampsia resulting in a premature delivery by caeserian section on 12-JUL-2007. The infant was born normal and no congenital anomalies. The infant was a male with a low birthweight of 1510 grams, a length of 43.5cm, a head circumference of 31cm and an Apgar score of 8/9. At the time of the report, the patient''s outcome was unknown. The pre-eclampsia and premature delivery were considered to be other important medical events. Additional information has been requested.


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