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This is VAERS ID 276812

Case Details

VAERS ID: 276812 (history)  
Age: 22.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-01-04
Onset:2007-03-08
   Days after vaccination:63
Submitted: 2007-04-13
   Days after onset:35
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Human papilloma virus test positive, Smear cervix abnormal
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions: Papanicolaou smear abnormal; Human papilloma virus test negative
Diagnostic Lab Data: Pap test 03/08?/07 - Positive for HPV
CDC Split Type: WAES0703USA03613

Write-up: Information has been received from a physician concerning a 22 year old female patient with allergies to codeine (unspecified) and Benadryl and a history of an atypical Papanicolaou smear but negative for human papilloma virus (HPV), who on 04-JAN-2007 was vaccinated, IM, with the first dose of Gardasil and on 08-MAR-2007 was vaccinated, IM, with the second dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 08-MAR-2007, the patient''s pap smear results were received as "positive for HPV," and the second dose had already been administered. Additional information has been requested.


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