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This is VAERS ID 281537

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 281537 (history)  
Form: Version .0  
Age: 17.0  
Sex: Female  
Location: Michigan  
   Days after vaccination:0
Submitted: 2007-06-12
   Days after onset:48
Entered: 2007-06-13
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Pregnancy test
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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Pregnancy NOS (LMP = 3/28/2007); Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: total serum human -
CDC Split Type:

Write-up: Information has been received from a registered nurse concerning a 17 year old female patient with a drug allergy to erythromycin and no medical history, who on 21-FEB-2007 was vaccinated IM with a 0.5ml first dose of Gardasil (Lot# 655324/0089U). There w"as no concomitant medication. On 25-APR-2007 the patient received her second dose of the vaccine while pregnant (LMP 28-MAR-2007). On 16-MAY-2007, the patient experienced an uncomplicated spontaneous miscarriage. Unspecified medical attention was sought.

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