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This is VAERS ID 274298

Case Details

VAERS ID: 274298 (history)  
Age: 26.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-02
Onset:2007-02-06
   Days after vaccination:4
Submitted: 2007-03-14
   Days after onset:35
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LA / IJ

Administered by: Private       Purchased by: Private
Symptoms: Skin papilloma
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Wart
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA03493

Write-up: Information has been received from a nurse via a company representative concerning a 26 year old female with a history of warts from childhood who on 02-FEB-2007 was vaccinated with a first 0.5 mL dose of GARDASIL (lot #655619/1427F), injection in left deltoid. Concomitant therapy included hormonal contraceptives (unspecified). It was reported by the nurse that the patient informed the clinic that she had a breakout of warts in her forearm 4 days after vaccination, on 06-FEB-2007. At the time of the report, it was unknown if the patient had recovered. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Additional information is not expected.


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