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This is VAERS ID 271120

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271120
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant t"herapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smea


Changed on 12/8/2009

VAERS ID: 271120 Before After
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type': (blank) WAES0612USA02744

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant t"herapy therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smea smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 271120 Before After
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type': WAES0612USA02744

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 271120 Before After
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type': WAES0612USA02744

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 271120 Before After
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type': WAES0612USA02744

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.


Changed on 6/11/2011

VAERS ID: 271120 Before After
Age:20.0
Gender:Female
Location:Tennessee
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Smear cervix, Smear cervix abnormal, Smear cervix normal, Vaginitis bacterial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: cervical smear, 12/8/06, + High risk HPV types; cervical smear 11/04, negative; cervical smear 12/09/05, negative.
CDC 'Split Type': WAES0612USA02744

Write-up:Information has been received from a nurse practitioner concerning a 19 year old female with an allergy to penicillin who on 21 Oct 2006 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot #653650/0702F). Concomitant therapy included hormonal contraceptives (unspecified). On 21 Oct 2006 the patient experienced minor redness and swelling at the injection site, which later resolved. On 08 Dec 2006 the patient presented with bacterial vaginosis and had a positive pap smear test for high risk HPV types. It was noted that on an unspecified date in November 2006 and on 09 Dec 2005 the patient''s pap smear tests were negative. Subsequently, unspecified medical attention was sought and the patient had not recovered from positive pap smear test. Additional information has been requested.


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