National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 288708

Case Details

VAERS ID: 288708 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2007-06-04
Onset:2007-06-04
   Days after vaccination:0
Submitted: 2007-08-14
   Days after onset:71
Entered: 2007-08-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Inappropriate schedule of drug administration, Laboratory test, Pregnancy test positive, Uterine dilation and curettage, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Normal pregnancy conditions and outcomes (narrow), Medication errors (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: antimicrobial (unspecified); ASTELIN; KLONOPIN; NEXIUM; NASONEX; hormonal contraceptives
Current Illness: Pregnancy NOS (LMP = 5/31/2007); Drug hypersensitivity
Preexisting Conditions: Surgical intervention
Allergies:
Diagnostic Lab Data: diagnostic laboratory 07/05/07; diagnostic procedure - baby''s heart tunnels are present; beta-human chorionic 06/25/07 - positive; diagnostic laboratory 07/09/07 - 4-5 weeks pregnant; beta-human chorionic 06/26/07 - positive
CDC Split Type: WAES0706USA04965

Write-up: Initial and follow-up information has been received from the Merck pregnancy registry from a registered nurse and a physician concerning a 34 year old female with drug hypersensitivity to codeine with a history of dilation and curettage procedure done in February, who on 29-MAR-2007 was vaccinated IM with a first dose of Gardasil (lot # 654885/1424F). On 04-Jun-2007 was vaccinated IM with a second dose of Gardasil (lot # 654885/1424F). Concomitant therapy included NEXIUM, ASTELIN, NASONEX, KLONOPIN, "FECON", and antimicrobial (unspecified). ON 25-JUN-2007 and 26-JUN-2007 the patient reported that the beta-human chorionic gonadotropin test (unspecified) were positive. On 05-JUL-2007 and 09-JUL-2007 the patient came into the office for blood work. The 09-JUL-2007 blood work reported that the patient was four to five week pregnant. The patient''s last menstrual period was approximately 31-MAY-2007 and the delivery date was 06-MAR-2008. The physician reported that the baby''s heart tunnels are present. Subsequently the patient experienced some bleeding during pregnancy. Additional information has been requested. This is in follow-up to report(s) previously submitted on 8/14/2007. Initial and follow-up information has been received from the Merck pregnancy registry form a registered nurse and a physician concerning a 34 year old female with drug hypersensitivty to codeine with a history of dilation and curettage procedure done in Febraury who on 29-MAR-2007 was vaccinated IM with a first dose of GARDASIL (lot # 654885/1424F). On 04-Jun-2007 was vaccinated IM with a second dose of GARDASIL (lot # 654889/1424F). Concomitant therapy inclued NEXIUM, ASTELIN, NASONEX, KLONOPIN, FECOM, and antimicrobial (unspecified). On 25-JUN-2007 and 26-JUN-2007 the patient reported that the beta-human chorionic gonadotropin test (unspecified) were positive. On 05-JUL-2007 and 09-JUL-2007 the patient came into the office for blood work. The 09-JUL-2007 blood work reported that the patient was four to five weeks pregnant. The patient''s last menstural period was approximately 31-MAY-2007 and the delivery date was 06-MAR-2008. The physician reported that the baby''s heart tunnels are present. Subsequently the patient experienced some bleeding during pregnancy. Follow up information was received from the nurse on 27-MAR-2008. The patient did not receive her prenatal care at their office. The name of the provider was not available. No additional information was provided.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=288708


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166