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This is VAERS ID 277115

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277115
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-16
Onset:2006-11-15
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Biopsy breast abnormal, Breast cancer, Breast mass, Cervical dysplasia

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Low grade squamous intraepithelial lesion, Cervical dysplasia, cervical intraepithelial neoplasia I
Preexisting Conditions:
Diagnostic Lab Data: Breast biopsy 01/19/07 - invasive and intraductal breast carcinoma, Cervical smear 08/18/06 - ASC low grade squamous cell intraepithelial lesion encompassing HPV, mild dysplasia, CIN 1, cervical smear 03/21/07 - ASCUS, positive for HPV viru
CDC 'Split Type':

Write-up:Information has been received from a registered nurse, concerning a 26 year old female patient with a low grade squamous intraepithelial lesion, cervical dysplasia and cervical intraepithelial neoplasia-1 (18-AUG-2006), who on 16-OCT-2006 was vaccinated w"ith the first dose, 0.5ml, IM in the left arm, of Gardasil (Lot #654540/0800F). There was no concomitant medication. On 15-DEC-2006, at an office visit scheduled to determine if she was pregnant, the patient reported that she felt a small lump in her left


Changed on 12/8/2009

VAERS ID: 277115 Before After
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-16
Onset:2006-11-15
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Biopsy breast abnormal, Breast cancer, Breast mass, Cervical dysplasia, Condition aggravated, Mammogram abnormal, Mastectomy, Pregnancy test negative, Smear cervix abnormal, Surgery, Papilloma viral infection, Human papilloma virus test positive

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Low grade squamous intraepithelial lesion, Cervical dysplasia, cervical intraepithelial neoplasia I
Preexisting Conditions:
Diagnostic Lab Data: Breast biopsy 01/19/07 - invasive and intraductal breast carcinoma, Cervical smear 08/18/06 - ASC low grade squamous cell intraepithelial lesion encompassing HPV, mild dysplasia, CIN 1, cervical smear 03/21/07 - ASCUS, positive for HPV viru
CDC 'Split Type': (blank) WAES0704USA02501

Write-up:Information has been received from a registered nurse, concerning a 26 year old female patient with a low grade squamous intraepithelial lesion, cervical dysplasia and cervical intraepithelial neoplasia-1 (18-AUG-2006), who on 16-OCT-2006 was vaccinated w"ith with the first dose, 0.5ml, IM in the left arm, of Gardasil (Lot #654540/0800F). There was no concomitant medication. On 15-DEC-2006, at an office visit scheduled to determine if she was pregnant, the patient reported that she felt a small lump in her left breast that had been there since approximately 15-NOV-2006 ("approximately one month''). The nurse added that the patient was sent to the hospital for a pregnancy test, which was negative. On 09-JAN-2007, the patient had a mammogram of the left breast which recommended that she undergo a biopsy, and on 17-Jan-2007, an ultrasound guided core biopsy of the left breast was performed; on 19-Jan-2007, the biopsy result showed "invasive and intraductal breast carcinoma." On 20-Jan-2007 the patient was vaccinated with the second dose, 0.5 ml, IM in the left arm, of Gardasil (Lot #654540/0800F). On 21-MAR-2007, a repeat Pap smear result was positive for human papilloma virus, and the nurse added that the usual treatment to remove the abnormal cells with the loop electrosurgical excision procedure (LEEP), was not performed due to the patient''s breast cancer diagnosis. The nurse stated that the patient was scheduled to be seen by 2 surgeons for consideration and opinions of a bilateral mastectomy, and indicated that the patient would undergo chemotherapy following the surgery. The reporter considered the patient''s invasive and intraductal breast carcinoma and/or positive human papilloma virus results to be immediately life-threatening and an other significant medical event. Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 277115 Before After
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-16
Onset:2006-11-15
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy breast abnormal, Breast cancer, Breast mass, Cervical dysplasia, Condition aggravated, Mammogram abnormal, Mastectomy, Pregnancy test negative, Smear cervix abnormal, Surgery, Papilloma viral infection, Human papilloma virus test positive

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Low grade squamous intraepithelial lesion, Cervical dysplasia, cervical intraepithelial neoplasia I
Preexisting Conditions:
Diagnostic Lab Data: Breast biopsy 01/19/07 - invasive and intraductal breast carcinoma, Cervical smear 08/18/06 - ASC low grade squamous cell intraepithelial lesion encompassing HPV, mild dysplasia, CIN 1, cervical smear 03/21/07 - ASCUS, positive for HPV viru virus, mammography 01/09/07 - recommend biopsy, colonscopy 09/15/06, beta-human chorionic 12/15/06 - negative
CDC 'Split Type': WAES0704USA02501

Write-up:Information has been received from a registered nurse, concerning a 26 year old female patient with a low grade squamous intraepithelial lesion, cervical dysplasia and cervical intraepithelial neoplasia-1 (18-AUG-2006), who on 16-OCT-2006 was vaccinated with the first dose, 0.5ml, IM in the left arm, of Gardasil (Lot #654540/0800F). There was no concomitant medication. On 15-DEC-2006, at an office visit scheduled to determine if she was pregnant, the patient reported that she felt a small lump in her left breast that had been there since approximately 15-NOV-2006 ("approximately one month''). The nurse added that the patient was sent to the hospital for a pregnancy test, which was negative. On 09-JAN-2007, the patient had a mammogram of the left breast which recommended that she undergo a biopsy, and on 17-Jan-2007, an ultrasound guided core biopsy of the left breast was performed; on 19-Jan-2007, the biopsy result showed "invasive and intraductal breast carcinoma." On 20-Jan-2007 the patient was vaccinated with the second dose, 0.5 ml, IM in the left arm, of Gardasil (Lot #654540/0800F). On 21-MAR-2007, a repeat Pap smear result was positive for human papilloma virus, and the nurse added that the usual treatment to remove the abnormal cells with the loop electrosurgical excision procedure (LEEP), was not performed due to the patient''s breast cancer diagnosis. The nurse stated that the patient was scheduled to be seen by 2 surgeons for consideration and opinions of a bilateral mastectomy, and indicated that the patient would undergo chemotherapy following the surgery. The reporter considered the patient''s invasive and intraductal breast carcinoma and/or positive human papilloma virus results to be immediately life-threatening and an other significant medical event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 277115 Before After
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-16
Onset:2006-11-15
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy breast abnormal, Breast cancer, Breast mass, Cervical dysplasia, Condition aggravated, Mammogram abnormal, Mastectomy, Pregnancy test negative, Smear cervix abnormal, Surgery, Papilloma viral infection, Human papilloma virus test positive

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Low grade squamous intraepithelial lesion, Cervical dysplasia, cervical intraepithelial neoplasia I
Preexisting Conditions:
Diagnostic Lab Data: Breast biopsy 01/19/07 - invasive and intraductal breast carcinoma, Cervical smear 08/18/06 - ASC low grade squamous cell intraepithelial lesion encompassing HPV, mild dysplasia, CIN 1, cervical smear 03/21/07 - ASCUS, positive for HPV virus, mammography 01/09/07 - recommend biopsy, colonscopy 09/15/06, beta-human chorionic 12/15/06 - negative
CDC 'Split Type': WAES0704USA02501

Write-up:Information has been received from a registered nurse, concerning a 26 year old female patient with a low grade squamous intraepithelial lesion, cervical dysplasia and cervical intraepithelial neoplasia-1 (18-AUG-2006), who on 16-OCT-2006 was vaccinated with the first dose, 0.5ml, IM in the left arm, of Gardasil (Lot #654540/0800F). There was no concomitant medication. On 15-DEC-2006, at an office visit scheduled to determine if she was pregnant, the patient reported that she felt a small lump in her left breast that had been there since approximately 15-NOV-2006 ("approximately one month''). The nurse added that the patient was sent to the hospital for a pregnancy test, which was negative. On 09-JAN-2007, the patient had a mammogram of the left breast which recommended that she undergo a biopsy, and on 17-Jan-2007, an ultrasound guided core biopsy of the left breast was performed; on 19-Jan-2007, the biopsy result showed "invasive and intraductal breast carcinoma." On 20-Jan-2007 the patient was vaccinated with the second dose, 0.5 ml, IM in the left arm, of Gardasil (Lot #654540/0800F). On 21-MAR-2007, a repeat Pap smear result was positive for human papilloma virus, and the nurse added that the usual treatment to remove the abnormal cells with the loop electrosurgical excision procedure (LEEP), was not performed due to the patient''s breast cancer diagnosis. The nurse stated that the patient was scheduled to be seen by 2 surgeons for consideration and opinions of a bilateral mastectomy, and indicated that the patient would undergo chemotherapy following the surgery. The reporter considered the patient''s invasive and intraductal breast carcinoma and/or positive human papilloma virus results to be immediately life-threatening and an other significant medical event. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 277115 Before After
Age:26.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-16
Onset:2006-11-15
Submitted:2007-04-19
Entered:2007-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Biopsy breast abnormal, Breast cancer, Breast mass, Cervical dysplasia, Condition aggravated, Mammogram abnormal, Mastectomy, Pregnancy test negative, Smear cervix abnormal, Surgery, Papilloma viral infection, Human papilloma virus test positive

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Low grade squamous intraepithelial lesion, Cervical dysplasia, cervical intraepithelial neoplasia I
Preexisting Conditions:
Diagnostic Lab Data: Breast biopsy 01/19/07 - invasive and intraductal breast carcinoma, Cervical smear 08/18/06 - ASC low grade squamous cell intraepithelial lesion encompassing HPV, mild dysplasia, CIN 1, cervical smear 03/21/07 - ASCUS, positive for HPV virus, mammography 01/09/07 - recommend biopsy, colonscopy 09/15/06, beta-human chorionic 12/15/06 - negative
CDC 'Split Type': WAES0704USA02501

Write-up:Information has been received from a registered nurse, concerning a 26 year old female patient with a low grade squamous intraepithelial lesion, cervical dysplasia and cervical intraepithelial neoplasia-1 (18-AUG-2006), who on 16-OCT-2006 was vaccinated with the first dose, 0.5ml, IM in the left arm, of Gardasil (Lot #654540/0800F). There was no concomitant medication. On 15-DEC-2006, at an office visit scheduled to determine if she was pregnant, the patient reported that she felt a small lump in her left breast that had been there since approximately 15-NOV-2006 ("approximately one month''). The nurse added that the patient was sent to the hospital for a pregnancy test, which was negative. On 09-JAN-2007, the patient had a mammogram of the left breast which recommended that she undergo a biopsy, and on 17-Jan-2007, an ultrasound guided core biopsy of the left breast was performed; on 19-Jan-2007, the biopsy result showed "invasive and intraductal breast carcinoma." On 20-Jan-2007 the patient was vaccinated with the second dose, 0.5 ml, IM in the left arm, of Gardasil (Lot #654540/0800F). On 21-MAR-2007, a repeat Pap smear result was positive for human papilloma virus, and the nurse added that the usual treatment to remove the abnormal cells with the loop electrosurgical excision procedure (LEEP), was not performed due to the patient''s breast cancer diagnosis. The nurse stated that the patient was scheduled to be seen by 2 surgeons for consideration and opinions of a bilateral mastectomy, and indicated that the patient would undergo chemotherapy following the surgery. The reporter considered the patient''s invasive and intraductal breast carcinoma and/or positive human papilloma virus results to be immediately life-threatening and an other significant medical event. Additional information has been requested.


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