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This is VAERS ID 279629

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279629
VAERS Form:
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2006-11-15
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Smear cervix abnormal, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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 seco"nd 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.


Changed on 12/8/2009

279629 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2006-11-15
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Smear cervix abnormal, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-CYCLEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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 seco"nd 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.


Changed on 9/14/2017

279629 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:Texas
Vaccinated:2006-11-15
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Smear cervix abnormal, 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)? Yes
ER or ED Visit? (V2.0) 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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