Age: 20.0
Sex: F
Vaccine: VARCEL
Symptoms: Gingival bleeding, Medication error, Unintended pregnancy
Clinical narrative: Information has been received from a nurse in the form of medical records through a pregnancy registry concerning a 20 year old female with femoral anteversion and a history of anorexia and unilateral oophorectomy secondary to ovarian cysts. On 9/4/03, she was vaccinated with varicella virus vaccine live . Concomitant therapy included sertraline HCl. The medical records also noted the patient received a rubella virus vaccine live in this pregnancy. The medical records noted the patient was in her third week of pregnancy on 9/4/03 when she received the varicella vaccine. The patient's LMP was 8/15/03. EDD is 5/23/04,. It was noted that the patient had taken diphenhydramine hydrochloride to help her sleep during this pregnancy and she has been taking her prenatal vitamins. The medical records note that during this pregnancy the patient has not been exposed to any harmful chemicals and she denies exposure to alcohol, cigarettes and street drugs. She also denies illnesses, infections, high fevers, x-rays or bleeding during this pregnancy. Although she has had bleeding gums in this pregnancy. It was noted the patient's nuclear family is healthy. The patient's family medical history was reported as follows: maternal grandmother is from another country and had uterine cancer in her late seventies with metastases to the liver, and an unknown eye problem, the maternal grandfather died at an older age with an unknown type of cancer, her paternal grandmother died in her eighties with Parkinson's disease which onset at age 75, and her paternal grandfather was diagnosed in older age with prostate cancer and malignant melanoma. It was noted that her paternal family was from another country The medical records also noted that the patient's husband and several of his family members all have ADD, his maternal aunt has alcoholism and depression and his maternal grandfather and both paternal grandparents died of old age. It was noted that the patient received genetic counseling concerning cystic fibrosis, and Tay-Sachs disease and she declined Tay-Sachs carrier testing for herself and her husband. She was also informed that depression can occur in generation after generation and that first degree relatives of those with ADD have a 5% chance of being affected. The patient was informed that femoral anteversion tends to run in families. It was planned that the patient would have a level II ultrasound to evaluate fetal growth and anatomy. Follow up information was received from a physician which reported the patient had been on therapy with sertraline HCl, 100mg QD for the entire pregnancy for maternal depression, magnum at 28 weeks and prenatal vitamins QD. The physician mentioned the patient was administered varicella virus vaccine live for immigration purposes as she was from another country. It was noted that she did not have any previous pregnancies. In October 2003, a routine ultrasound was normal and a maternal specific alphafetoprotein on 12/18/03 was normal. It was noted that there were no maternal adverse events and no infections, illnesses or complications during the pregnancy. On 5/5/04 at 37 weeks a live normal female infant was born, weighing 6 pounds 6 ounces. There was thick meconium at delivery. It was noted that the infant did not have any feature of congenital varicella zoster syndrome and no congenital anomalies. Information received on 3/22/04 and 9/17/04 contained the following maternal adverse experiences: bleeding gums and maternal scoliosis. No additional information has been requested.