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From the 11/26/2021 release of VAERS data:

This is VAERS ID 435174

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Case Details

VAERS ID: 435174 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2011-08-01
Onset:0000-00-00
Submitted: 2011-09-22
Entered: 2011-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 1 RA / IJ

Administered by: Private       Purchased by: Private
Symptoms: Intra-uterine death, Maternal exposure during pregnancy, Uterine dilation and curettage
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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was 2-3 weeks pregnant at time of vaccination. Possible birth defect caused fetal demise at 6 weeks 6 days of gestation. DNC was required.


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