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This is VAERS ID 285363

Case Details

VAERS ID: 285363 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Missouri  
   Days after vaccination:193
Submitted: 2007-07-16
   Days after onset:70
Entered: 2007-07-18
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chorioamnionitis, Drug exposure during pregnancy, Pregnancy, Premature labour, Ultrasound scan
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Foetal disorders (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: CONCERTA
Current Illness: Pregnancy (LMP = 8/24/2006); Attention deficit/hyperactivity disorder
Preexisting Conditions:
Diagnostic Lab Data: ultrasound 11/09/06 - 11 weeks 3 days
CDC Split Type: WAES0611USA01347

Write-up: Information has been received from the Merck pregnancy registry via a physician concerning a 16 year old female with attention deficit/hyperactivity disorder with a history of 0 pregnancies and 0 live births who on 17-AUG-2006 was vaccinated with a first dose of Gardasil (lot # 653937/0637F). On 26-OCT-2006, the patient was vaccination with a second dose of Gardasil (lot #653938/0954F). Concomitant therapy included CONCERTA. Subsequently, she became pregnant. Last menstrual period was 24-AUG-2006 and estimated date of delivery was 29-MAY-2007. On 09-NOV-2006 and ultrasound reported that the patient was 11 weeks and 3 days. On approximately 07-MAY-2007 the patient developed pre-term labor and chorioamnionitis. On 07-MAY-2007, the patient gave birth to a normal male. Other medications used during this pregnancy included KEFLEX. On 18-JUN-2007, the patient was vaccinated with a third dose of Gardasil (lot #657736/0389U). No further information is available.

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