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This is VAERS ID 279228

Case Details

VAERS ID: 279228 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Arizona  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:72
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Anogenital warts, Fungal infection, Human papilloma virus test positive, Pruritus, Skin irritation, Vaginal candidiasis, Vaginitis bacterial
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: laboratory test - Positive for HPV 43 laboratory test - positive for HPV 51 serum HPV 6 - positive serum octavalent HPV 11 - positive serum octavalent HPV 18 - positive
CDC Split Type: WAES0704USA03109

Write-up: Information has been received from a Nurse Practitioner concerning a 21 year old female patient with penicillin allergy who on 02-MAR-2007 was vaccinated IM with a first dose of Gardasil. The NP reported that the patient had genital warts after receiving the Gardasil. On 19-MAR-2007 she first had itching and irritation. On 21-MAR-2007 she was examined and had both bacterial vaginosis and yeast infection. On 19-MAR-2007 she was treated with Diflucan and on 21-MAR-2007 she was treated with Flagyl. On 16-APR-2007 the genital warts were visually confirmed during the examination. The patient had tested positive for serum human papillomavirus prior to the vaccination. The patient''s genital wart was persisting. Additional information has been requested.

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