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This is VAERS ID 274192

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274192
Age:16.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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, Nega
CDC 'Split Type':

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. Sh"e 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.


Changed on 12/8/2009

VAERS ID: 274192 Before After
Age:16.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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, Nega
CDC 'Split Type': (blank) 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. Sh"e She received the vaccination at the pediatrician''''s pediatrician''s office. The patient was tested for syphilis /" " a couple of days/" days" later. The patient''''s 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.


Changed on 5/14/2017

VAERS ID: 274192 Before After
Age:16.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
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, Nega 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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