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This is VAERS ID 278963

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278963
VAERS Form:
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-05-03
Submitted:2007-05-17
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

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

Life Threatening? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: cervical smear 05/03?/07 - abnormal
CDC 'Split Type':

Write-up:Information has been received from a female in her mid-20''''s who in approximately March 2007, was vaccinated with the first dose of Gardasil. On approximately 03-May-2007 the patient had an abnormal pap smear. The patient considered the abnormal pap smear"to be immediately life-threatening. Additional information is not expected. This is one of two reports received from the same source.


Changed on 12/8/2009

278963 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-05-03
Submitted:2007-05-17
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

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

Life Threatening? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: cervical smear 05/03?/07 - abnormal
CDC 'Split Type': (blank) WAES0705USA02234

Write-up:Information has been received from a female in her mid-20''''s mid-20''s who in approximately March 2007, was vaccinated with the first dose of Gardasil. On approximately 03-May-2007 the patient had an abnormal pap smear. The patient considered the abnormal pap smear"to smear to be immediately life-threatening. Additional information is not expected. This is one of two reports received from the same source.


Changed on 9/14/2017

278963 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-01
Onset:2007-05-03
Submitted:2007-05-17
Entered:2007-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

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

Life Threatening? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: cervical smear 05/03?/07 - abnormal
CDC 'Split Type': WAES0705USA02234

Write-up:Information has been received from a female in her mid-20''s who in approximately March 2007, was vaccinated with the first dose of Gardasil. On approximately 03-May-2007 the patient had an abnormal pap smear. The patient considered the abnormal pap smear to be immediately life-threatening. Additional information is not expected. This is one of two reports received from the same source.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278963&WAYBACKHISTORY=ON


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