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This is VAERS ID 272488

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272488
VAERS Form:
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonog"estrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of


Changed on 12/8/2009

272488 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type': (blank) WAES0701USA03430

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonog"estrel etonogestrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of HPV vaccine (yeast). (Lot # 655617/1447F). The patient sought unspecified medical attention. At the time of the report, it was unknown if the patient recovered. Additional information has been requested.


Changed on 2/5/2010

272488 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1447F / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type': WAES0701USA03430

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonogestrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of HPV vaccine (yeast). (Lot # 655617/1447F). The patient sought unspecified medical attention. At the time of the report, it was unknown if the patient recovered. Additional information has been requested.


Changed on 6/14/2014

272488 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type': WAES0701USA03430

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonogestrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of HPV vaccine (yeast). (Lot # 655617/1447F). The patient sought unspecified medical attention. At the time of the report, it was unknown if the patient recovered. Additional information has been requested.


Changed on 5/14/2017

272488 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type': WAES0701USA03430

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonogestrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of HPV vaccine (yeast). (Lot # 655617/1447F). The patient sought unspecified medical attention. At the time of the report, it was unknown if the patient recovered. Additional information has been requested.


Changed on 9/14/2017

272488 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2006-11-22
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix, Papilloma viral infection, Human papilloma virus test 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: Nuvaring, Prevacid, minocycline hydrochloride
Current Illness:
Preexisting Conditions: Allergic to antibiotics
Allergies:
Diagnostic Lab Data: cervical smear, 01/03/07 (+), positive for HPV
CDC 'Split Type': WAES0701USA03430

Write-up:Information has been received from a registered nurse concerning a 19 year old female with allergy to cefaclor (CECLOR) who on 22-NOV-2006 was vaccinated with the first dose of HPV vaccine (yeast). Concomitant therapy included ethinyl estradiol (+) etonogestrel (NUVARING), lansoprazole (PREVACID) and minocycline HCl. On 03-JAN-2007, the patient had a cervical (PAP) smear. The patient tested positive for Papilloma viral infection (HPV). On 11-JAN-2007, the patient was vaccinated with the second dose of HPV vaccine (yeast). (Lot # 655617/1447F). The patient sought unspecified medical attention. At the time of the report, it was unknown if the patient recovered. Additional information has been requested.


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