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This is VAERS ID 276929

Case Details

VAERS ID: 276929 (history)  
Age:   
Gender: Female  
Location: Illinois  
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. - / - - / -

Administered by: Other       Purchased by: Other
Symptoms: Dysplasia
SMQs:, Premalignant disorders, general conditions and other site specific disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05419

Write-up: Information has been received from a physician concerning a female who was vaccinated with Gardasil vaccine (yeast) (dose and date not provided) as part of a clinical trial she was involved with. Subsequently "the physician reported that the patient had received the Gardasil vaccine (yeast) in the trial and was experiencing "dysplasia syn 2 due to one of the strains of the HPV virus, either 16 or 18." No lot number was provided. The patient sought unspecified medical attention. Additional information has been requested.


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