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This is VAERS ID 279065

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279065
VAERS Form:
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-03-21
Onset:2007-04-04
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Anogenital warts

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 physician''''s assistant concerning a 17 year old female who on 21-MAR-2007 was vaccinated with the first dose of Gardasil. On 04-APR-2007 the patient was diagnosed with genital warts. unspecified medical attention was s"ought. At the time of this report, the patient''''s genital warts persisted. Additional information has been requested.


Changed on 12/8/2009

279065 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-03-21
Onset:2007-04-04
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Anogenital warts

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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) WAES0704USA00863

Write-up:Information has been received from a physician''''s physician''s assistant concerning a 17 year old female who on 21-MAR-2007 was vaccinated with the first dose of Gardasil. On 04-APR-2007 the patient was diagnosed with genital warts. unspecified medical attention was s"ought. sought. At the time of this report, the patient''''s patient''s genital warts persisted. Additional information has been requested.


Changed on 9/14/2017

279065 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Arizona
Vaccinated:2007-03-21
Onset:2007-04-04
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Anogenital warts

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES0704USA00863

Write-up:Information has been received from a physician''s assistant concerning a 17 year old female who on 21-MAR-2007 was vaccinated with the first dose of Gardasil. On 04-APR-2007 the patient was diagnosed with genital warts. unspecified medical attention was sought. At the time of this report, the patient''s genital warts persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279065&WAYBACKHISTORY=ON


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