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This is VAERS ID 276812

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276812
VAERS Form:
Age:22.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-03-08
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions: Papanicolaou smear abnormal; Human papilloma virus test negative
Allergies:
Diagnostic Lab Data: Pap test 03/08?/07 - Positive for HPV
CDC 'Split Type':

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 wa"s 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 a


Changed on 12/8/2009

276812 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-03-08
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions: Papanicolaou smear abnormal; Human papilloma virus test negative
Allergies:
Diagnostic Lab Data: Pap test 03/08?/07 - Positive for HPV
CDC 'Split Type': (blank) 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 wa"s 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 patient''s pap smear results were received a as "positive for HPV," and the second dose had already been administered. Additional information has been requested.


Changed on 9/14/2017

276812 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Ohio
Vaccinated:2007-01-04
Onset:2007-03-08
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions: Papanicolaou smear abnormal; Human papilloma virus test negative
Allergies:
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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