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This is VAERS ID 279038

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279038
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of Gardasil (date unspecified). According to the"article, the woman /"became infected with the 4 strains of HPV, /"although she was /"involved in the studies/" for Gardasil and had shown a /"strong conversion/" during the studies. Additional information has been requested.


Changed on 12/8/2009

279038 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type': (blank) WAES0704USA00327

Write-up:Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of Gardasil (date unspecified). According to the"article, the article, the woman /"became "became infected with the 4 strains of HPV, /"although "although she was /"involved "involved in the studies/" studies" for Gardasil and had shown a /"strong conversion/" "strong conversion" during the studies. Additional information has been requested.


Changed on 3/2/2010

279038 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type': WAES0704USA00327

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007 Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of Gardasil GARDASIL (date unspecified). According to the article, the woman "became infected with the 4 strains of HPV, "although she was "involved in the studies" for Gardasil GARDASIL and had shown a "strong conversion" during the studies. Additional information has been requested. Follow up information confirmed that only one patient was identified or involved with the events (WAES #0610USA04009). Therefore, WAES # 0704USA00327 is being deleted from our files. No further information is expected. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


Changed on 6/14/2014

279038 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type': WAES0704USA00327

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007 Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of GARDASIL (date unspecified). According to the article, the woman "became infected with the 4 strains of HPV, "although she was "involved in the studies" for GARDASIL and had shown a "strong conversion" during the studies. Additional information has been requested. Follow up information confirmed that only one patient was identified or involved with the events (WAES #0610USA04009). Therefore, WAES # 0704USA00327 is being deleted from our files. No further information is expected. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


Changed on 3/14/2015

279038 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type': WAES0704USA00327

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007 Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of GARDASIL (date unspecified). According to the article, the woman "became infected with the 4 strains of HPV, "although she was "involved in the studies" for GARDASIL and had shown a "strong conversion" during the studies. Additional information has been requested. Follow up information confirmed that only one patient was identified or involved with the events (WAES #0610USA04009). Therefore, WAES # 0704USA00327 is being deleted from our files. No further information is expected. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


Changed on 9/14/2017

279038 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Papilloma viral infection

Life Threatening? No
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: Unknown
CDC 'Split Type': WAES0704USA00327

Write-up:This is in follow-up to report (s) previously submitted on 5/14/2007 Information has been received from a company representative, reporting in a literature article (article name and author not specified) concerning a 22 year old female who was vaccinated with a dose or doses of GARDASIL (date unspecified). According to the article, the woman "became infected with the 4 strains of HPV, "although she was "involved in the studies" for GARDASIL and had shown a "strong conversion" during the studies. Additional information has been requested. Follow up information confirmed that only one patient was identified or involved with the events (WAES #0610USA04009). Therefore, WAES # 0704USA00327 is being deleted from our files. No further information is expected. This report was previously sent in a monthly submission to PLA V501 on 14-MAR-2007.


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