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This is VAERS ID 263232

Case Details

VAERS ID: 263232 (history)  
Age: 26.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2006-08-21
Onset:2006-08-21
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:24
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / -

Administered by: Public       Purchased by: Private
Symptoms: Laboratory test abnormal, Unevaluable event
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: diagnostic laboratory 08/21/2006 "comprehensive metabolic panel tests", electrocardiogram 08/21/06, absolute neutrophil 08/21/06 7.9 K/ul 2.0-609, total urine ketones 08/21/06 $g-80 negative, urine bacteria screen 08/21/2006 4+, urine WBC count 08/21/06 30-40 hpf 0-2/hpf, urine microscopic 08/21/06, urinalysis 08/21/06, glomerular filtration 08/21/06, complete blood cell 08/21/06
CDC Split Type: WAES0608USA06478

Write-up: Information has been received from an other health professional concerning a 26 year old female in sales with no pre-existing allergies, birth defects or medical conditions reported. On 21-AUG-2006, in the pm, the patient was vaccinated in the left deltoid with the first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI CYCLEN). There were no illness noted at the time of vaccination. On 21-AUG-2006, in the pm, the patient experienced an unspecified adverse event. The patient went to the emergency room and it was reported that she "went home that day". On 21-AUG-2006, the patient underwent a complete blood count (CBC), comprehensive metabolic panel, estimated glomerular filtration rate (GFR), urine microscopic analysis, urinalysis and an electrocardiogram (EKG). On 21-AUG-2006, the patient''s laboratory data revealed an absolute neutrophil count noted as 7.9 K/ul, urine ketones noted as $g-80, a urine white blood cell count noted as 30-40/hpf and urine bacteria noted as 4+. On 21-AUG-2006, the patient recovered from the events. Additional information has been requested.


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