Age: 34.0
Sex: F
Vaccine: VARCEL
Symptoms: Unevaluable event
Clinical narrative: Information has been received through the manufacturer pregnancy registry from a physician and a 34 year old white female consumer with no known allergies and a history of diuretic therapy who on 01/26/02 was vaccinated with a dose of Varicella virus vaccine live (Lot # not reported). There was no local reaction at the vaccination site and no Varicella or herpes zoster symptoms post vaccination. There were no concomitant medications.  The pt's LMP was 11/21/01 with an EDD of 08/29/02.  In December 2001 the pt was tested for Varicella antibodies before vaccination and the results were negative. An ultrasound was performed to check for abnormalities and the results were normal; "everything fine".  On 02/11/02 the pt had her first prenatal visit at which time she was 11 weeks gestation. A general physical examination was normal.  Pelvic exam was normal. The uterus was appropriate size. Clinical pelvimetry was adequate for an average size baby.  Blood type is O negative. RPR was nonreactive.  Pap smear was normal. Rubella test shows immunity. Antibody screen was negative. Hepatitis Screen was negative. Hematocrite was 40. The pt had gained approximately 40-45lbs during the prenatal period.  Her blood pressure had always been within normal limits.  She used prenatal vitamins during this pregnancy.  She received Rhogam at 28 weeks gestation. Group B strep culture at 36 weeks was negative.  The pt had an uncomplicated prenatal course except for the fact that her cervix was dilated approximately 2cm "a week ago" and she was 37 weeks gestation.  The physician had her come back earlier that week after about 5 or 6 days from the previous exam and she was 3cm dilated. The physician had her come back again and when she was "checked" she was 4cm dilated. Because of that, and that she was exactly 38 weeks gestation, the physician felt like it was probably best to go ahead and get the baby delivered rather than send the pt home and have her possibly deliver the baby because she could not get to the hospital in time.  On 08/15/02 at 1500, the pt was admitted and placed on a fetal monitor.  An IV was started with Ringer's Lactate. She was observed for a period of time. IV Pitocin was started to try and get a contraction pattern going. At approximately 1630 hours an amniotomy was performed with clear fluid being noted. The pt make a little more rapid progress after that. She had a little bit of a rim of cervix for awhile.  At 2207 the pt became completely dilated. The nurse though that the baby was in a brow presentation, which the brow being anterior. She said that she could feel the baby's eyes but when the physician arrived on the scene later, when the pt was completely dilated, the infant was not in a brow presentation but was in a right occipitotransverse position. The physician rotated the baby around ot the occipitoanterior position. The pt pused through several contractions and finally after performing a small midline episiotomy when the baby was crowning up very nicely, at 2257, the pt spontaneously delivered a normal, 7lb, 2 oz male. The infant had no features of congenital varicella zoster syndrome. There was a little bit of a knucle of cord down by the baby's shoulder.  Apgars were 7 and 9 at one and five minutes respectively. The infant was vigorous and active, and left the delivery area in excellent condition. The placenta delivered spontaneously approximately 2 minutes after the baby was born.  The placenta was intact. There was a three-vessel umbilical cord. Intrauterine examination was normal after delivery of the placenta. However, on examination of the cervix, the pt had bilateral cervical lacerations, there were not very big, probably only an inch long and basically at 3 and 9 o'clock.  The physician sutured those with continuous interlocking sutures of #2-0 chromic and they went together "nicely". The pt had a small midline episiotomy which was closed with a continuous interlocking suture of #2-0 chronic with some interrupted sutures to the perineum and a subcuticular suture to the skin and the perineum.  Vaginal and rectal inspection after repair were normal.  The bladder was catheterized for a moderate amount of urine. The pt lost "maybe" 300cc of blood. The epidural catheter was removed intact. Vaginal and rectal inspection after repair were normal. The pt was then returned to the postpartum position in good condition. No product quality complaint was involved.  No further information is expected.