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This is VAERS ID 276165

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276165
Age:16.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-02-16
Onset:2007-02-27
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Smear cervix abnormal, Papilloma viral infection

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS, mg; ADVAIR
Current Illness:
Preexisting Conditions: Asthma; Drug hypersensitivity
Diagnostic Lab Data: cervical smear, 02/27/2007, Positive for high risk HPV
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female with asthma and allergy to /"campha/" who on 16, Feb 2007 was vaccinated IM with her first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast), single dose vial. Concomitant therapy"included fluticasone propionate (+) salmeterol xinafoate (ADVAIR) and amphetamine aspartate/amphetamineSO4/dex (ADDERALL TABLETS). On 27, Feb 2007 the patient was tested for HPV and the pap smear results were positive for high risk HPV. Unspecified medica


Changed on 12/8/2009

VAERS ID: 276165 Before After
Age:16.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-02-16
Onset:2007-02-27
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Smear cervix abnormal, Papilloma viral infection

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS, mg; ADVAIR
Current Illness:
Preexisting Conditions: Asthma; Drug hypersensitivity
Diagnostic Lab Data: cervical smear, 02/27/2007, Positive for high risk HPV
CDC 'Split Type': (blank) WAES0703USA01098

Write-up:Information has been received from a physician concerning a 16 year old female with asthma and allergy to /"campha/" "campha" who on 16, Feb 2007 was vaccinated IM with her first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast), single dose vial. Concomitant therapy"included therapy included fluticasone propionate (+) salmeterol xinafoate (ADVAIR) and amphetamine aspartate/amphetamineSO4/dex (ADDERALL TABLETS). On 27, Feb 2007 the patient was tested for HPV and the pap smear results were positive for high risk HPV. Unspecified medica medical attention was sought. Her outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276165&WAYBACKHISTORY=ON


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