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This is VAERS ID 276820

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276820
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Smear cervix abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test 03/09/07 abnor
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome wa"s not reported. Additional information has been requested.


Changed on 12/8/2009

276820 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Smear cervix abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test 03/09/07 abnor
CDC 'Split Type': (blank) WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome wa"s was not reported. Additional information has been requested.


Changed on 3/2/2010

276820 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / IM

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Smear cervix abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test 03/09/07 test, 03/09/07, abnor
CDC 'Split Type': WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome was not reported. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. Follow-up information was received from the physician, who reported the patient was lost to follow up. Additional information is not expected.


Changed on 4/7/2010

276820 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test, 03/09/07, abnor
CDC 'Split Type': WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome was not reported. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. Follow-up information was received from the physician, who reported the patient was lost to follow up. Additional information is not expected.


Changed on 6/14/2014

276820 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test, 03/09/07, abnor
CDC 'Split Type': WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome was not reported. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. Follow-up information was received from the physician, who reported the patient was lost to follow up. Additional information is not expected.


Changed on 2/14/2017

276820 Before After
VAERS Form:
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test, 03/09/07, abnor
CDC 'Split Type': WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome was not reported. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. Follow-up information was received from the physician, who reported the patient was lost to follow up. Additional information is not expected.


Changed on 9/14/2017

276820 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Virginia
Vaccinated:2007-03-04
Onset:2007-03-09
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Pap test, 03/09/07, abnor
CDC 'Split Type': WAES0703USA03709

Write-up:Information has been received from a physician concerning a female who on 04-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient presented with an abnormal papanicolaou (PAP) test. Unspecified medical attention was sought. Patient outcome was not reported. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. Follow-up information was received from the physician, who reported the patient was lost to follow up. Additional information is not expected.


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