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This is VAERS ID 276684

Case Details

VAERS ID: 276684 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:52
Submitted: 2007-04-13
   Days after onset:63
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 2 - / UN

Administered by: Private       Purchased by: Other
Symptoms: Anogenital warts

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA0315

Write-up: Information has been received from a physician concerning a 21 year old female who on 03-OCT-2006 at 12:30 and on 18-DEC-2006 at 18:00 was vaccinated into the right and left deltoid with a first and second dose of Gardasil, respectively. On 08-FEB-2007, the patient developed genital warts. No sexual activity was reported. At the time of this report, the patient''s outcome was unknown. Additional information has been requested.

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