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This is VAERS ID 290872

Case Details

VAERS ID: 290872 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:32
Submitted: 2007-09-18
   Days after onset:195
Entered: 2007-09-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 3/6/2007)
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0709USA01893

Write-up: Information has been received from a registered nurse, via a company representative, concerning a 26 year old female patient, who on 11-DEC-2006, was vaccinated with the first dose of Gardasil, and on 02-FEB-2007 with the second dose of Gardasil (lot # not provided). On approximately 06-MAR-2007 ("on or about 06-MAR-2007") the patient became pregnant. On approximately 26-JUN-2007 ("approximately 16 weeks later"), she had a miscarriage. At the time of this report, the outcome of "had a miscarriage" was unknown. Upon internal review, "had a miscarriage" was determined to be serious as an other important medical event. Additional information has been requested.

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