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This is VAERS ID 272330

Case Details

VAERS ID: 272330 (history)  
Age: 17.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-11-02
Onset:2006-12-01
   Days after vaccination:29
Submitted: 2007-02-14
   Days after onset:75
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: HIV test false positive
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: Serum HIV-1 p24, 12/06, false positive
CDC Split Type: WAES0701USA01810

Write-up: Information has been received from a physician concerning a 17 year old female with no medical history or allergies, who on 14-AUG-2006 on 02-NOV-2006 was vaccinated IM with a first and second 0.5 ml dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). There was no concomitant medication. In December 2006, the patient had a false positive HIV result. It was noted that the physician stated that the patient had no risk factors for HIV. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested.


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