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This is VAERS ID 276236

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276236
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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

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: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma
CDC 'Split Type':

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 HPV rL1 6 11 16 18 VLP vaccine (yeast). Concomitant ther"apy 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 wa


Changed on 12/8/2009

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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

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: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma
CDC 'Split Type': (blank) 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 HPV rL1 6 11 16 18 VLP vaccine (yeast). Gardasil. Concomitant ther"apy 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 wa was provided at the time of reporting. The patient had not recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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, 2007 (1 1/2 weeks after the first injection), the patient experienced lesions lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 Biopsy regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the lesions left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. Additional It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information has been requested. is available.


Changed on 4/7/2010

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy, Vaginal lesion, HIV antibody negative, Anogenital warts, Herpes simplex serology negative, Hepatitis B test negative, Treponema test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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 (1 1/2 weeks after the first injection), the patient experienced lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information is available.


Changed on 8/31/2010

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy, Vaginal lesion, Syphilis test negative, HIV antibody negative, Anogenital warts, Herpes simplex serology negative, Hepatitis B test negative, Treponema test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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 (1 1/2 weeks after the first injection), the patient experienced lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information is available.


Changed on 1/4/2011

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy, Vaginal lesion, Syphilis test negative, HIV antibody negative, Anogenital warts, Herpes simplex serology negative, Hepatitis B test negative, Treponema test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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 (1 1/2 weeks after the first injection), the patient experienced lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information is available.


Changed on 6/14/2014

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy, Vaginal lesion, HIV antibody negative, Anogenital warts, Herpes simplex serology negative, Hepatitis B test negative, Treponema test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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 (1 1/2 weeks after the first injection), the patient experienced lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information is available.


Changed on 2/14/2017

VAERS ID: 276236 Before After
Age:24.0
Gender:Female
Location:Louisiana
Vaccinated:2007-01-25
Onset:2007-02-04
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy, Vaginal lesion, HIV antibody negative, Anogenital warts, Herpes simplex serology negative, Hepatitis B test negative, Treponema test negative

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ
Current Illness:
Preexisting Conditions: none
Diagnostic Lab Data: biopsy, 02/??/07; condyloma; Rapid plasma reagin card, negative; serum hepatitis B, negative; HSV type 1 and/or 2, negative; HIV antibody screen, negative
CDC 'Split Type': WAES0703USA01367

Write-up:This is in follow-up to report (s) previously submitted on 4/6/2007. 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 (1 1/2 weeks after the first injection), the patient experienced lesions/"vaginal bumps" on the external vaginal area. The patient contacted the physician on 26, Feb 2007 regarding the "rash" and ''vaginal bumps" . A vulvar biopsy of the left labia and posterior fourchette revealed condyloma. No treatment was provided at the time of reporting. Cultures were obtained ad HPR, Hep B, Hep C, HSV 1 and 2 HIV tests were performed and were all negative. The patient had not recovered. It was noted in follow-up tht the patient ws vaccinated intramuscularly into the right deltoid with a second dose of GARDASIL on 27-MAR-2007 (Lot # "00844"). As of 05-MAY-2007, there was no report of an adverse experienced with this second dose. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276236&WAYBACKHISTORY=ON


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