Age: 20.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy, Gastrooesophageal reflux disease, Hepatitis B antibody negative, Perineal laceration, Placental disorder
Clinical narrative: Information has been received from a nurse practitioner, for the Pregnancy Registry for GARDASIL, concerning a 20 year old white female with allergies to PROZAC, attention deficit /hyperactivity disorder, bipolar disorder and depression with a history of 1 pregnancy and 1 live birth who on 28-Aug-2007 was vaccinated intramuscularly with the 0.5ml first dose of GARDASIL (lot#658282/0929U). On 27-Feb-2008, the patient was vaccinated with the second dose of GARDASIL (lot#659437/1266U). Concomitant therapy included LAMICTAL and RITALIN. Subsequently, she became pregnant. The estimated delivery date was 02-Aug-2008. The patient sought medical attention at the office. On 17-Apr-2008, an ultrasound was performed for dating and that result showed 24.5 weeks. During the pregnancy, other medications included PREVACID 15mg daily for Gastroesophageal reflux disease. On 02-Aug-2008 the patient delivered a normal, healthy female baby weighing 5 pounds 14 ounces. The apgar scores were 8/9. There were no congential anomalies and no other complications/abnormalities. Additional information has been received from a physician concerning a 20 year old female smoker who had a precipitous spontaneous delivery of a healthy female infant on 02-Aug-2008. On 02-Aug-2008, it was reported that the mother had a calcified placenta and 2nd degree lacerations on her left labial and peri clitoral. On approximately 19-Sep-2008, the patient reported having upper respiratory symptoms. On 02-Aug-2008, the patient's infant had cord around her neck x2. The patient's infant was born without abnormalities. The infant's length was 19 3/4 inches. On 02-Aug-2008, the newborn had a hearing screening test and passed. On 12-Aug-2008, the mother took her infant to a well child visit. She had concerns for some bleeding from the umbilicus. The mother also reported that her infant was spitting up and requested to switch formula to Isomil. Overall, newborn screen and PKU status were normal. On 27-Aug-2008, the mother brought her infant to the physician's office in f/u to the emergency room visit on 25-Aug-2008 for nose being very stuffy. The infant was given amoxicillin in the ER. The following day, the infant developed small mumps on forehead, so no more antibiotics was given. It was reported that the infant was crying and fussy, nose still stuffy, mucous generally clear, but at times light yellow and had a slight cough. VS: height 21.0 inches, temperature 98.3 degrees and weight 8lbs 0 oz. the mother again took her infant to the physician's office for complaints of continued cough, drainage from nose being yellow, clear with occasional amount of greenish streaks, rash on neck and forehead and an occasional fever that never goes above 100. VS: RR 24, temp 97.9 degrees and weigh reported as 9lbs 0 oz. The infant was diagnosed with an upper respiratory infection. Plan included use of nasal saline drops, aspiration as needed and humidifier. On 19-Sep-2008, the mother brought her infant in for a check-up. Mother reported congestion, cough, diaper rash and diarrhea(started on 16-sep-2008). VS: temperature 98.4 degrees, P: 132, RR 22 and weight 10lbs 0 oz. Infant diagnosed with gastroenteritis and diaper rash. Oral hydration and nystatin powder ordered. Two month well child visit on 22-Oct-2008, the infant still had some head congestion and moderate spitting up but no rash reported. Temperature 98.06 degrees. Immunizations given at visit included PEDIARIX and PREVNAR. Additional informational is not expected.