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This is VAERS ID 269923

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

269923
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-12-29
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC 'Split Type':

Write-up:Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week la"ter, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which we


Changed on 12/8/2009

269923 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-12-29
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / - UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC 'Split Type': (blank) WAES0612USA03674

Write-up:Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week la"ter, later, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which we were positive for parvo virus, Epstein Barr and Cytomegalovirus. The patient was treated with steroids and anti inflammatory drugs. At the time of the report she had not recovered. The reporter considered the events to be disabling and other important medical events (OMIC). Additional information has been requested.


Changed on 6/14/2014

269923 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-12-29
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC 'Split Type': WAES0612USA03674

Write-up:Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week later, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which were positive for parvo virus, Epstein Barr and Cytomegalovirus. The patient was treated with steroids and anti inflammatory drugs. At the time of the report she had not recovered. The reporter considered the events to be disabling and other important medical events (OMIC). Additional information has been requested.


Changed on 5/14/2017

269923 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-12-29
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC 'Split Type': WAES0612USA03674

Write-up:Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week later, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which were positive for parvo virus, Epstein Barr and Cytomegalovirus. The patient was treated with steroids and anti inflammatory drugs. At the time of the report she had not recovered. The reporter considered the events to be disabling and other important medical events (OMIC). Additional information has been requested.


Changed on 9/14/2017

269923 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-12-29
Entered:2007-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Arthritis, Joint swelling, Myalgia, Urinary tract infection, Viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Minocin.
Current Illness:
Preexisting Conditions: Papilloma viral infection, Acne.
Allergies:
Diagnostic Lab Data: 10/06 viral antibody titer positive for Parvo virus, Epstein Barr virus 10/06 Positive, Cytomegalovirus 10/06 positive.
CDC 'Split Type': WAES0612USA03674

Write-up:Information has been received from a physician concerning her 18 year old daughter with a history of HPV and acne who at the beginning of October 2006, was vaccinated with a dose of HPV vaccine. Concomitant therapy included Yasmin and Minocin. One week later, the patient developed a urinary tract infection. Two weeks after vaccination, she had an acute onset of arthritis. She had significant swelling of her finger joints and generalized myalgia. She had blood work to include viral antibody titers which were positive for parvo virus, Epstein Barr and Cytomegalovirus. The patient was treated with steroids and anti inflammatory drugs. At the time of the report she had not recovered. The reporter considered the events to be disabling and other important medical events (OMIC). Additional information has been requested.


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