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This is VAERS ID 279562

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279562
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Coombs indirect test negative, Culture urine negative, Full blood count normal, HIV antibody negative, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP = 02/28/2007); tobacco user; cannabis abuse; sexually active
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antib
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treat"ed with Bactrim DS for 10 days for a urinary tract infection. ON 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a s


Changed on 12/8/2009

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Pregnancy NOS (LMP = 02/28/2007); tobacco user; cannabis abuse; sexually active
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antib
CDC 'Split Type': (blank) WAES0704USA05775

Write-up:Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treat"ed treated with Bactrim DS for 10 days for a urinary tract infection. ON 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a s second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. Her LMP was approximately 28-FEB-2007 (reported as "late February 2007). Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Other
Symptoms: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions: Pregnancy NOS (LMP = 02/28/2007); tobacco user; cannabis abuse; sexually active
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antib
CDC 'Split Type': WAES0704USA05775

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. ON On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007). 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Other
Symptoms: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions:
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antib
CDC 'Split Type': WAES0704USA05775

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Other
Symptoms: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions:
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antib antibody screen, 04/12/2007, negative; indirect Coombs'', 04/12/2007, negative; serum beta-human, 04/12/2007, 24529; serum beta-human, 04/16/2007, 54860; serum hepatitis B, 04/12/2007, negative; serum rubella IgG, 04/12/2007, immune; urinalysis, 11/29/2006, small blood, large leukocytes, too many WBCs to count; urinalysis, 12/14/2006, trichomoniasis and too many WBCs to count; urinalysis, 03/15/2007, negative; urine culture, 03/15/2007, negative for gonorrhea and chlamydia
CDC 'Split Type': WAES0704USA05775

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Other
Symptoms: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions:
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antibody screen, 04/12/2007, negative; indirect Coombs'', 04/12/2007, negative; serum beta-human, 04/12/2007, 24529; serum beta-human, 04/16/2007, 54860; serum hepatitis B, 04/12/2007, negative; serum rubella IgG, 04/12/2007, immune; urinalysis, 11/29/2006, small blood, large leukocytes, too many WBCs to count; urinalysis, 12/14/2006, trichomoniasis and too many WBCs to count; urinalysis, 03/15/2007, negative; urine culture, 03/15/2007, negative for gonorrhea and chlamydia
CDC 'Split Type': WAES0704USA05775

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.


Changed on 2/14/2017

VAERS ID: 279562 Before After
Age:16.0
Gender:Female
Location:Oklahoma
Vaccinated:2006-11-29
Onset:2006-11-29
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: Other
Symptoms: Coombs indirect test negative, Culture urine negative, Full blood count normal, Hepatitis B antibody negative, Pelvic inflammatory disease, Pregnancy test negative, Rubella antibody negative, Trichomoniasis, Urinary tract infection, White blood cell count increased, HIV antibody negative, Syphilis test, Urine analysis abnormal, Chlamydia serology

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Pregnancy NOS (LMP = 02/28/2007); Tobacco user; Cannabis abuse; Sexually active
Preexisting Conditions:
Diagnostic Lab Data: Chlamydia trachomatis, 02/09/2007, negative; Neisseria gonorrhoeae, 02/09/2007, negative; Rapid plasma reagin, 04/12/2007, negative for syphilis; beta-human chorionic, 03/15/2007, negative; complete blood cell, 04/12/2007, normal; HIV antibody screen, 04/12/2007, negative; indirect Coombs'', 04/12/2007, negative; serum beta-human, 04/12/2007, 24529; serum beta-human, 04/16/2007, 54860; serum hepatitis B, 04/12/2007, negative; serum rubella IgG, 04/12/2007, immune; urinalysis, 11/29/2006, small blood, large leukocytes, too many WBCs to count; urinalysis, 12/14/2006, trichomoniasis and too many WBCs to count; urinalysis, 03/15/2007, negative; urine culture, 03/15/2007, negative for gonorrhea and chlamydia
CDC 'Split Type': WAES0704USA05775

Write-up:This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a health professional concerning a 16 year old sexually active female patient who is a smoker of tobacco and marijuana who on 29-NOV-2006 was vaccinated with a first dose of Gardasil. On 29-NOV-2006 the patient was treated with Bactrim DS for 10 days for a urinary tract infection. On 14-DEC-2006 the patient was being treated with Omnicef for days and a single dose of Flagyl for trichomoniasis and a possible urinary tract infection. On 22-JAN-2007 the patient received a second dose of Gardasil, IM into the right deltoid. On 22-JAN-2007 the patient was being treated with Macrodantin, 100 mg twice a day for 10 days for a urinary tract infection. On 05-FEB-2007 the patient was taking Bactrim and clotrimazole. On 09-FEB-2007 the patient was treated with Flagyl for 10 days and Rocephin injection for Zithromax 1 gm for pelvic inflammatory disease. On 09-MAR-2007 the patient was using a Xopenex inhaler and Advair and on 15-MAR-2007 she was taking Flagyl for 14 days. On 29-MAR-2007 she was taking Flagyl 500 mg and doxycycline for 10 days. On 14-APR-2007 serial beta HCG test was 24529 and on 16-APR-2007 it was 54860. (See lab section for additional labs) Her LMP was approximately 28-FEB-2007 (reported as "late February 2007"). It was reported that the baby was born full-term, healthy and normal and both "she" and the mother are fine. There were no complications. Additional information has been requested.


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