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This is VAERS ID 279505

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279505
VAERS Form:
Age:23.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Cervical dysplasia, Nausea, Smear cervix, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

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: MIRENA
Current Illness: Pregnancy NOS (LMP = 1/2/2007); Dysplasia
Preexisting Conditions: Loop electrosurgical excision procedure
Allergies:
Diagnostic Lab Data: cervical smear 03/05/07 - moderate dysplasia CIN, urine beta-human - positive
CDC 'Split Type':

Write-up:Information has been received from a Certified Medical Assistant through Merck Pregnancy concerning a 23 year old female patient with moderate dysplasia of the cervix and a history of loop electrosurgical excision procedure (LEEP) who on 02-JAN-2007 was v"accinated IM in right deltoid with a first dose of Gardasil and had menstruation cycle on that day. On 27-FEB-2007 the patient was vaccinated IM in right deltoid with a second dose of Gardasil. Concomitant therapy included Mirena IUD birth control. On 05-


Changed on 12/8/2009

279505 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Cervical dysplasia, Nausea, Smear cervix, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

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: MIRENA
Current Illness: Pregnancy NOS (LMP = 1/2/2007); Dysplasia
Preexisting Conditions: Loop electrosurgical excision procedure
Allergies:
Diagnostic Lab Data: cervical smear 03/05/07 - moderate dysplasia CIN, urine beta-human - positive
CDC 'Split Type': (blank) WAES0704USA04296

Write-up:Information has been received from a Certified Medical Assistant through Merck Pregnancy concerning a 23 year old female patient with moderate dysplasia of the cervix and a history of loop electrosurgical excision procedure (LEEP) who on 02-JAN-2007 was v"accinated vaccinated IM in right deltoid with a first dose of Gardasil and had menstruation cycle on that day. On 27-FEB-2007 the patient was vaccinated IM in right deltoid with a second dose of Gardasil. Concomitant therapy included Mirena IUD birth control. On 05- 05-MAR-2007 the patient presented to office experiencing nausea. Urine pregnancy test was performed and it was positive for pregnancy. The reporter stated that client had unusual history; her birth control was a Mirena IUD but on manual examination it was not found. The MA stated that it must have expulsed. She had a cervical smear (PAP) test done which showed moderate dysplasia. On 04-NOV-2006 patient had Leep procedure performed. The patient''s outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

279505 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-02-27
Onset:2007-02-27
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Cervical dysplasia, Nausea, Smear cervix, Drug exposure during pregnancy, Urine human chorionic gonadotropin positive

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: MIRENA
Current Illness: Pregnancy NOS (LMP = 1/2/2007); Dysplasia
Preexisting Conditions: Loop electrosurgical excision procedure
Allergies:
Diagnostic Lab Data: cervical smear 03/05/07 - moderate dysplasia CIN, urine beta-human - positive
CDC 'Split Type': WAES0704USA04296

Write-up:Information has been received from a Certified Medical Assistant through Merck Pregnancy concerning a 23 year old female patient with moderate dysplasia of the cervix and a history of loop electrosurgical excision procedure (LEEP) who on 02-JAN-2007 was vaccinated IM in right deltoid with a first dose of Gardasil and had menstruation cycle on that day. On 27-FEB-2007 the patient was vaccinated IM in right deltoid with a second dose of Gardasil. Concomitant therapy included Mirena IUD birth control. On 05-MAR-2007 the patient presented to office experiencing nausea. Urine pregnancy test was performed and it was positive for pregnancy. The reporter stated that client had unusual history; her birth control was a Mirena IUD but on manual examination it was not found. The MA stated that it must have expulsed. She had a cervical smear (PAP) test done which showed moderate dysplasia. On 04-NOV-2006 patient had Leep procedure performed. The patient''s outcome was unknown. Additional information has been requested.


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