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This is VAERS ID 288907

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 288907
VAERS Form:
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2"007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage


Changed on 12/8/2009

VAERS ID: 288907 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2"007. 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 288907 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 288907 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 288907 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 288907 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 288907 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 288907 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Tennessee
Vaccinated:2007-07-07
Onset:2007-08-08
Submitted:2007-08-23
Entered:2007-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Abortion spontaneous, Drug exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 = 7/11/2007); Penicillin allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0708USA03011

Write-up: Information has been received from a licensed practical nurse concerning an 18 year old female with an allergy to penicillin and no medical history, who in June 2007, was vaccinated intramuscularly with a first dose of Gardasil and a second dose in July 2007. There was no concomitant medication. The patient had become pregnant sometime between the two doses. Her last menstrual period was 11-JUL-2007 and her estimated delivery date was 16-APR-2008. On approximately 08-AUG-2007 the patient had a miscarriage. No laboratory diagnostic studies were performed. The patient sought unspecified medical attention. The patient recovered on an unspecified date. No product quality complaint was involved. Upon internal review spontaneous abortion was considered an other important medical event. Additional information has been requested.

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