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This is VAERS ID 279040

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 279040 (history)  
Form: Version .0  
Age: 19.0  
Gender: Female  
Location: Unknown  
   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

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
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:

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 an

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