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This is VAERS ID 344175

Case Details

VAERS ID:344175 (history)  Vaccinated:2008-12-06
Age:18  Onset:0000-00-00
Gender:Female  Submitted:2009-04-13
Location:Michigan  Entered:2009-04-15, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Pregnancy NOS (LMP = 11/29/2008); Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0904USA01164
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (AFLURIA)CSL LIMITEDAFLLA158AA IMUN
Administered by: Other     Purchased by: Other
Symptoms: Drug exposure during pregnancy, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)
Write-up: Information has been received from a medical assistant, for the Pregnancy Registry for GARDASIL, concerning an 18 year old female with sulfa allergy and no pertinent medical history who was vaccinated IM with the first and second 0.5 ml doses of GARDASIL by different provider and was vaccinated IM with the third 0.5ml dose of GARDASIL (lot #: 659962/1740U) on 01-DEC-2008. Concomitant therapy included loratadine. The patient who received the three doses of GARDASIL was pregnant. The patient''s last menstrual period was 29-NOV-2008 and estimated delivery date was 05-SEP-2009. The patient experienced vaginal bleeding and was hospitalized at an unspecified time period. Additional information has been requested.

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