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This is VAERS ID 435174

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/11/2011

VAERS ID: 435174
VAERS Form:
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 / 0 RA / IJ

Administered by: Private      Purchased by: Private
Symptoms: Intra-uterine death, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 9/14/2017

VAERS ID: 435174 Before After
VAERS Form:(blank) 1
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 / 0 1 RA / IJ

Administered by: Private      Purchased by: Private
Symptoms: Intra-uterine death, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 2/14/2018

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 6/14/2018

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 8/14/2018

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 9/14/2018

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 10/14/2018

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 12/24/2020

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 12/30/2020

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 5/7/2021

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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.


Changed on 5/14/2021

VAERS ID: 435174 Before After
VAERS Form:1
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, Uterine dilation and curettage, Maternal exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     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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