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This is VAERS ID 272330

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272330
VAERS Form:
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-02
Onset:2006-12-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Serum HIV-1 p24, 12/06, false positive
CDC 'Split Type':

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


Changed on 12/8/2009

272330 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-02
Onset:2006-12-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Serum HIV-1 p24, 12/06, false positive
CDC 'Split Type': (blank) 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 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.


Changed on 9/14/2017

272330 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-02
Onset:2006-12-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272330&WAYBACKHISTORY=ON


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