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This is VAERS ID 276884

Case Details

VAERS ID: 276884 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04550

Write-up: Information has been received from a Registered Nurse (R.N.) concerning a female patient who was vaccinated with a dose of Gardasil at another practice. The patient developed an outbreak of genital warts after receiving the Gardasil. The time frame was unknown between the vaccination and the outbreaks. Unspecified medical attention was sought. The patient''s outcome was unknown.


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