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This is VAERS ID 276812

Case Details

VAERS ID: 276812 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Ohio  
   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. - / 1 - / IM

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

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: 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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