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This is VAERS ID 283826

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

Case Details

VAERS ID: 283826 (history)  
Form: Version .0  
Age: 17.0  
Sex: Female  
Location: Kansas  
Vaccinated:2007-05-03
Onset:2007-05-21
   Days after vaccination:18
Submitted: 2007-07-03
   Days after onset:43
Entered: 2007-07-05
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion spontaneous, Drug exposure during pregnancy, Metrorrhagia, Pregnancy test positive, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (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? No
Previous Vaccinations:
Other Medications: AUGMENTIN mg, trichloroacetic acid
Current Illness: Pregnancy NOS (LMP = 4/15/2007) Folliculitis; Genital wart
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Ultrasound 05/21/07 - 5 week gestational sac Reason for test was clotting/spotting, total serum human 05/25/07 - 2231, total serum human 05/30/07 - 118
CDC Split Type:

Write-up: Information has been received from a registered nurse through the Merck pregnancy registry concerning a 17 year old female patient with folliculitis, genital condyloma and no medical history or allergies, who on 07-MAR-2007 was vaccinated IM with a first"0.5ml dose of Gardasil (Lot# 655618/0186U). On 03-MAY-2007 the patient received a second dose of Gardasil (Lot# 657621/0387U). Concomitant therapy included, AUGMENTIN and trichloroacetic acid. The patient stated her last menstrual period was 15-APR-2007.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=283826


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