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This is VAERS ID 279561

Case Details

VAERS ID: 279561 (history)  
Form: Version 1.0  
Age: 27.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Anogenital warts, Burning sensation, Headache, Inappropriate schedule of drug administration, Injection site irritation, Injection site pain
SMQs:, Peripheral neuropathy (broad), Extravasation events (injections, infusions and implants) (broad), Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YAZ, ALLEGRA
Current Illness:
Preexisting Conditions: Papilloma viral infection; loop electrosurgical excision procedure
Diagnostic Lab Data:
CDC Split Type: WAES0704USA05765

Write-up: Information has been received from a 27 year old female with a history of papilloma viral infection and loop electrosurgical excision procedure in January 2007, who was vaccinated with Gardasil. Concomitant therapy included ALLEGRA and YAZ. Subsequently, the patient received two doses of the vaccine. After the first vaccination she experienced pain that the injection site (right arm) which hurt and burn. She did not experience any injection site reactions after the second injection (left arm). She experienced headache approximately one day after her first and second injections. About a week after the second injection, she developed genital warts on her outer lip. She reported that she is not sexually active. At the time of this report, the genital warts persisted. Her last dose is due on 17-MAY-2007. Additional information has been requested.

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