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This is VAERS ID 284390

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

Case Details

VAERS ID: 284390 (history)  
Form: Version .0  
Age: 16.0  
Sex: Female  
Location: Florida  
Vaccinated:2007-04-13
Onset:2007-05-01
   Days after vaccination:18
Submitted: 2007-07-11
   Days after onset:71
Entered: 2007-07-12
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0137U / 0 - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion spontaneous, Amenorrhoea, Blood human chorionic gonadotropin increased, Drug exposure during pregnancy, Pregnancy test positive
SMQs:, Tumour markers (narrow), 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), Fertility disorders (broad)

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: vitamins (unspecified)
Current Illness: Pregnancy NOS (LMP = Unknown)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: beta-human chorionic 05/01/07 29576 - positive, beta-human chorionic 05/16/07 74136
CDC Split Type:

Write-up: Initial and follow-up information has been received from a physician for the Pregnancy Registry for Gardasil concerning a 16 year old female with no medical history or previous pregnancies who on 13-APR-2007 was vaccinated intramuscularly with a 0.5 mL do"se of Gardasil (lot # 655165/0137U). Concomitant therapy included pre-natal vitamins. On 01-MAY-2007 a pregnancy test was performed because of amenorrhea and found to be positive with an HCG results of 29576. The estimated conception date was 7 weeks and


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