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This is VAERS ID 365545

Case Details

VAERS ID: 365545 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:182
Submitted: 2009-11-05
   Days after onset:492
Entered: 2009-11-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death, Drug exposure during pregnancy, Foetal disorder, Premature labour, Stillbirth
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (narrow), Termination of pregnancy and risk of abortion (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Precancerous cells present; Cervicectomy
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0911CAN00002

Write-up: Information has been received from a 22 year old female with a history of precancerous cells present (caused by HPV) in 2004 and partial cervicectomy who in approximately January 2008, was vaccinated with the first dose of GARDASIL, lot # not available. In approximately March 2008, the patient was vaccinated with the second dose of GARDASIL, lot # not available. In July 2008 the patient found out she was pregnant. In September 2008 the patient was vaccinated with the third dose of GARDASIL, lot # not available (on the recommendation of her physician). In approximately January 2009 the patient went into premature labor (at 23 and a half weeks gestation) and her son was still born. Upon internal review, 23 and a half weeks gestation and stillbirth were considered to be other important medical events. No further information is available. This is one of several reports received from the same source.

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