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This is VAERS ID 279629

Case Details

VAERS ID: 279629 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Texas  
Vaccinated:2006-11-15
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Papilloma viral infection, Smear cervix abnormal
SMQs:

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: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0704USA06180

Write-up: Information has been received from a health professional concerning an approximately 25 year old female with an allergy to Hydrocodone, who on 15-NOV-2006 was vaccinated with Gardasil. Concomitant therapy included ORTHO-CYCLEN. A short time after her second dose, she had a routine Pap which was positive for abnormal cells and positive for a high risk strain of HPV. No other symptoms were reported. Date of first vaccination not provided. Additional information has been requested.


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