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This is VAERS ID 274192

Case Details

VAERS ID: 274192 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Maryland  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:132
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Antinuclear antibody negative, Bacterial test negative, Blood test, Syphilis test positive

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: UNK
Current Illness:
Preexisting Conditions: sexually active
Diagnostic Lab Data: Diagnostic laboratory, 11/06, negative, sexually transmitted disease; lyme disease assay, 11/06, Normal; rapid plasma reagin, 11/06, 1-256, High; serum ANA, 11/06, Normal; rapid plasma reagin, 11/06, positive but lower; FTA-ABS, 11/06, Negative.
CDC Split Type: WAES0702USA01225

Write-up: Information had been received from a physician and a Registered Nurse concerning a 16 year old female who was sexually active. In August 2006, the patient was vaccinated with the first dose of Gardasil, at the end of November 2006 with the second dose. She received the vaccination at the pediatrician''s office. The patient was tested for syphilis " a couple of days" later. The patient''s Rapid Plasma Reagin (RPR) test titers were 1-256 (high), with a negative Fluorescent Antibody Absorption (FTA) test. The patient was tested again approximately one week later and the RPR titers were still high but lower. The physician mentioned that the patient underwent other antibody tests such as serum antinuclear antibodies (ANA) test, and Lyme disease test. The results were normal for those tests. The physician stated that the patient had not been sick with the flu nor mononucleosis, and that the patient had tested negative for other sexually transmitted diseases. Additional information has been requested.

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