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This is VAERS ID 272314

Case Details

VAERS ID: 272314 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-11-21
Onset:2006-11-27
   Days after vaccination:6
Submitted: 2007-02-14
   Days after onset:79
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Anogenital warts, Haemoglobin
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: Surgery
Preexisting Conditions: Papanicolaou smear abnormal
Allergies:
Diagnostic Lab Data: Hemoglobin
CDC Split Type: WAES0701USA01358

Write-up: Information has been received from a nurse practitioner concerning her daughter, a 20 year old female with possible human papilloma virus prior to May 2006 who had an abnormal Papanicolaou (PAP) smear and colposcopy, June 2006 who on 21-NOV2006 was vaccinated with a 0.5ml dose of Gardasil. Concomitant therapy included Yasmin. On 27-NOV-2006, the patient developed genital warts. The patient required laser surgery on 08-JAN-2007. Laboratory evaluation included hemoglobin. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. Additional information has been requested.


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