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This is VAERS ID 279040

Case Details

VAERS ID: 279040 (history)  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-01
Onset:2007-03-10
   Days after vaccination:99
Submitted: 2007-05-14
   Days after onset:64
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Human papilloma virus test positive, Smear cervix abnormal, Smear cervix normal
SMQs:

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: None
Diagnostic Lab Data: Pap test 03/??/06 - negative Pap test 03/??/07 - positive for HPV with atypical squamous
CDC Split Type: WAES0704USA00354

Write-up: Information has been received from a physician concerning a 19 year old female patient with a negative pap smear on March 2006. In October 2006, the patient was vaccinated with the first dose 0.5 mL, of Gardasil, on December 2006 with the second dose 0.5 mL of Gardasil. On 10-MAR-2007 the patient presented with positive HPV with atypical squamous cells of undetermined significance (ASCUS) pap smear after receiving second vaccination. The patient did not have the third vaccination as of this report date and the outcome was unknown. Additional information has been requested.


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