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This is VAERS ID 297226

Case Details

VAERS ID: 297226 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Washington  
Vaccinated:2007-05-15
Onset:2007-05-15
   Days after vaccination:0
Submitted: 2007-11-16
   Days after onset:185
Entered: 2007-11-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Drug exposure during pregnancy, Foetal disorder
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (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? Yes, 0 days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 3/17/2007); Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0706USA05304

Write-up: Information has been received, via the Merck pregnancy registry, from a physician, concerning an 18 year old female patient with asthma, who was pregnant, (approximately 10-14 weeks pregnant), and on 15-MAY-2007 was vaccinated with the first dose, 0.5ml, of Gardasil (Lot #655620/0171U). The physician confirmed that no adverse effect was involved. No further details were reported. Follow up information from a nurse practitioner/certified nurse midwife, indicated the patient''s LMP date was 17-MAR-2007 and the estimated date of conception as 31-MAR-2007. The estimated date of delivery was 22-DEC-2007. Additional follow up information indicated that on 03-NOV-2007, the pregnancy resulted in a "premature birth and a low birth weight baby" (gestational week not specified). The infant''s (gender not specified) birth weight was less than 5 pounds. The infant continued in the hospital after 1 week, due to feeding difficulties. Additional information has been requested.


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