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This is VAERS ID 276236

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 276236 (history)  
Form: Version .0  
Age: 24.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-01-25
Onset:2007-02-04
   Days after vaccination:10
Submitted: 2007-04-06
   Days after onset:60
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Anogenital warts, Biopsy
SMQs:

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: hormonal contraceptives
Current Illness:
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: biopsy, 02/??/07; condyloma
CDC Split Type: WAES0703USA01367

Write-up: Information has been received from a physician concerning a 24 year old female with no medical history of drug reactions/allergies who on 25, Jan 2007 was vaccinated with the first IM 0.5 ml dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On approximately 04, Feb 2007, the patient experienced lesions on the external vaginal area. The patient contacted the physician on 26, Feb 2007. Biopsy of the lesions revealed condyloma. No treatment was provided at the time of reporting. The patient had not recovered. Additional information has been requested.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=276236


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