Age: 17.0
Sex: F
Vaccine: HPV4
Symptoms: Drug exposure during pregnancy
Clinical narrative: Information has been received from a licensed practical nurse, for the pregnancy registry of GARDASIL concerning a 17 year old female patient with no pertinent medical history and no drug reactions or allergic reactions, who on 04-DEC-2008 was vaccinated with the first dose of GARDASIL (lot number not provided) 0.5ml intramuscularly. There was not concomitant medication. Nurse reported that the patient was pregnant. Patient sought unspecified medical attention. No adverse effects reported. Follow up information was received from an obstetrician concerning a female patient with no pertinent medical history and no known drug allergies/drug reactions who on 04-DEC-2008 was vaccinated with the first dose of GARDASIL (Lot # not provided). It was reported that there were no complications, infections or illnesses during pregnancy. On 11-JUL-2009 the patient delivered a normal male baby (ID # 40105, weight 6 pounds and 14 ounces, length 19.5"). The patient was 40 [[name]] from her last menstrual period. There were no congenital anomalies or other complications. abnormalities. Follow-up information has been received via pediatric medical records from a physician concerning the patient's baby with passive smoke risk. It was reported that on 13-JUL-2009, at the age of 3 days, the baby underwent an ultrasound test in order to investigate a scrotal mass. On 13-Jul-2009 the following test results were obtained: blood lymphocyte count 25.0 %, blood segmented neutrophil count 65.0%; blood band neutrophil count 4%, slight anisocyte observation, slight poikilocyte observation, slight polychromatic erythrocyte observation, slight macrocyte observation. On 14-JUL-2009, the ultrasound revealed moderate right sided hydrocele. The baby's testicles appear to be normal with the right testicle measuring 1cm and the left testicle 9mm. Arterial flow was noted in both testicles. On 20-JUL-2009, the patient had a newborn exam which showed that the child was a little underweight at that time. The baby's weight was 5.13 lb and his height was 20 inches. The baby's physical exam, behavioral and mental health screen and the vital signs were found to be normal on this visit. A follow-up visit was scheduled to re-weight the child and the baby's mother was encouraged to feed the child every three hours. On 22-JUL-2009 the baby had a follow-up visit. The baby was feeding 3 oz every 3 hours and he was feeding much better at every feed. The infant was found to be gaining weight since at this visit his weight was 5.5 lb. The physician recommended the mother to put the baby to breast feeding every three hours. Physical exam, cardiovascular system and vital signs were found to be normal. ON 28-JUL-2009, the baby was seen for follow-up. The infant's weight increased up to 6 lb with increased feedings. The baby's immunizations were up to date. An office visit was scheduled in 2 [[name]] to administer the one month baby's immunizations. Breast feeding was planned to be continued. On 12-AUG-2009, the baby was seen in the office to receive immunization shots which included the second dose of HEP B (manufacturer unknown). At this time the baby was found to have developed a whitish membrane over the tongue for the past 5 to 6 days. Oral thrush was diagnosed and NYSTATIN 100000 units/mL suspension was prescribed as treatment. It was noted that the baby's oral intake was good and he was voidingwell. He continued to gain weight (6.75 lb) and was stable on the growth chart (20 inches). On 05-OCT-2009, the baby was seen for a follow-up visit. Physical exam[[name]]tion, dental screen, behavioral land mental health screenwere normal. His weight was 7.8 lb and his height was 22 inches. At this visit the baby received unspecified immunizations. On 12-OCT-2009, the patient had a follow-up on weight visit. He was found to be gaining weight appropriately (8.2 lb). However, it was reported that he was having some spittingup issues on some occasions; therfore failure to gainweight was assessed by the attending physician. No bematemesis or projectile vomiting were noted. The physician's assessment onthis visit was to keep monitoring the infant weight. If spitting persisted they would try adding a cereal formula [[name]] few [[name]]. On 26-OCT-2009, the baby was seen for an office visit. It was noted that he was having no normal elimination and sleeping patterns. The baby's height at this visit was 55.5 inches and his weight was 8.8 lb. The infant was well and he was gaining weight. The baby was spittingless after feeds so the same feeding strategies will be continued. Physical examination was within normal limits. No further information is available.