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This is VAERS ID 283756

Case Details

VAERS ID: 283756 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: California  
   Days after vaccination:11
Submitted: 2007-06-14
   Days after onset:169
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0651F / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Human papilloma virus test positive, Papilloma viral infection, Smear cervix abnormal

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: hormonal contraceptives
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Pap test 12/26/06 abnormal/ + HPV
CDC Split Type: WAES0705USA00839

Write-up: Information has been received from an other health professional concerning a 19 year old female student with no known drug allergies who on 20-OCT-2006 was vaccinated IM with a first 0.5ml dose of Gardasil. On 15-DEC-2006 in the morning, the patient received a second dose of 0.5 ml IM Gardasil (lot # 653650/0702F, also reported as lot # 653978/0955F) and a second dose of Vaqta (lot # 655090/0651F). Concomitant therapy included hormonal contraceptives (unspecified). On 26-DEC-2006 the patient tested positive for HPV on PAP testing with atypical cells. Unspecified medical attention was sought. At the time of this report, the patient''s outcome was unknown. No product quality complaint was involved. Additional information has been requested..

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