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This is VAERS ID 497193

Case Details

VAERS ID: 497193 (history)  
Form: Version 1.0  
Age:   
Gender: Unknown  
Location: Foreign  
Vaccinated:2013-01-03
Onset:0000-00-00
Submitted: 2013-07-18
Entered: 2013-07-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Congenital absence of cranial vault, Congenital adrenal gland hypoplasia, Congenital diaphragmatic hernia, Death, Foetal exposure during pregnancy, Pulmonary hypoplasia
SMQs:, Congenital, familial and genetic disorders (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2013-03-11
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Maternal exposure timing unspecified
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES1307DNK009995

Write-up: Case was received by a physician via the Health Authorities on 08-Jul-2013 under the reference DK-DKMA-ADR 22166169. Case medically confirmed. This case is linked to case E2013-05277 (patient''s mother, same vaccine). A foetus had received the second dose of GARDASIL (batch number not reported) via transplacental route on 03-Jan-2013 as the mother of the patient had been vaccinated with GARDASIL. On an unspecified date the patient developed absence of cranial vault, congenital diaphragmatic hernia, congenital adrenal gland hypoplasia and pulmonary hypoplasia. Abortion was induced. The patient died on 11-Mar-2013. Autopsy was determined. It was reported that the mother was 19 gestation week at the time of the events but it was not specified whether it was at the time of vaccination, at the time of induced abortion or at the time of congenital anomalies diagnosis. The mother received D1 of GARDASIL on 06-Nov-2012, toleration not reported.


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