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This is VAERS ID 279243

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279243
VAERS Form:
Age:
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. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Smear cervix abnormal, Anogenital warts, 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: serum prostatic acid - HPV6 HPV11
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast) (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6"and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

279243 Before After
VAERS Form:
Age:
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. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Smear cervix abnormal, Anogenital warts, 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: serum prostatic acid - HPV6 HPV11
CDC 'Split Type': (blank) WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with HPV rL1 6 11 16 18 VLP vaccine (yeast) Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6"and 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

279243 Before After
VAERS Form:
Age:(blank) 22.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2006-11-07
Onset:0000-00-00 2006-11-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / - - UN / - IM

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Smear cervix abnormal, Anogenital warts, Papilloma viral infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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 VALTREX
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum prostatic acid - HPV6 HPV11; cervical smear, HPV 6 HPV11
CDC 'Split Type': WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 22 year old female, with no known drug allergies, who on 07-NOV-2006 was vaccinated with IM with a dose of GARDASIL (lot # 653978/0955F). Concomitant therapy included VALTREX. Subsequently on an unspecified date, the patient had a PAP smear that tested positive for HPV 6 and HPV 11. On 16-NOV-2006 the patient developed break out of genital warts. It was reported that the patient sought unspecified medical attention. The patient''s break out of genital warts persisted. Additional information is not expected.


Changed on 4/7/2010

279243 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-07
Onset:2006-11-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Anogenital warts, 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: VALTREX
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum prostatic acid - HPV6 HPV11; cervical smear, HPV 6 HPV11
CDC 'Split Type': WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 22 year old female, with no known drug allergies, who on 07-NOV-2006 was vaccinated with IM with a dose of GARDASIL (lot # 653978/0955F). Concomitant therapy included VALTREX. Subsequently on an unspecified date, the patient had a PAP smear that tested positive for HPV 6 and HPV 11. On 16-NOV-2006 the patient developed break out of genital warts. It was reported that the patient sought unspecified medical attention. The patient''s break out of genital warts persisted. Additional information is not expected.


Changed on 6/14/2014

279243 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-07
Onset:2006-11-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Anogenital warts, 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: VALTREX
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum prostatic acid - HPV6 HPV11; cervical smear, HPV 6 HPV11
CDC 'Split Type': WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 22 year old female, with no known drug allergies, who on 07-NOV-2006 was vaccinated with IM with a dose of GARDASIL (lot # 653978/0955F). Concomitant therapy included VALTREX. Subsequently on an unspecified date, the patient had a PAP smear that tested positive for HPV 6 and HPV 11. On 16-NOV-2006 the patient developed break out of genital warts. It was reported that the patient sought unspecified medical attention. The patient''s break out of genital warts persisted. Additional information is not expected.


Changed on 2/14/2017

279243 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-07
Onset:2006-11-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Anogenital warts, 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: VALTREX
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum prostatic acid - HPV6 HPV11; cervical smear, HPV 6 HPV11
CDC 'Split Type': WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 22 year old female, with no known drug allergies, who on 07-NOV-2006 was vaccinated with IM with a dose of GARDASIL (lot # 653978/0955F). Concomitant therapy included VALTREX. Subsequently on an unspecified date, the patient had a PAP smear that tested positive for HPV 6 and HPV 11. On 16-NOV-2006 the patient developed break out of genital warts. It was reported that the patient sought unspecified medical attention. The patient''s break out of genital warts persisted. Additional information is not expected.


Changed on 9/14/2017

279243 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-07
Onset:2006-11-16
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, Anogenital warts, 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: VALTREX
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: serum prostatic acid - HPV6 HPV11; cervical smear, HPV 6 HPV11
CDC 'Split Type': WAES0704USA03682

Write-up:Information has been received from a physician concerning a female who was vaccinated with Gardasil (date and dose not provided). Subsequently at an unspecified time, the patient had a Pap smear that tested positive for HPV 6 and HPV 11. It was also reported that the patient experienced a break out of genital warts not long after vaccination with HPV. It was reported that the patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow-up information has been received from a physician concerning a 22 year old female, with no known drug allergies, who on 07-NOV-2006 was vaccinated with IM with a dose of GARDASIL (lot # 653978/0955F). Concomitant therapy included VALTREX. Subsequently on an unspecified date, the patient had a PAP smear that tested positive for HPV 6 and HPV 11. On 16-NOV-2006 the patient developed break out of genital warts. It was reported that the patient sought unspecified medical attention. The patient''s break out of genital warts persisted. Additional information is not expected.


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