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This is VAERS ID 283948

Case Details

VAERS ID: 283948 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-03-30
Onset:2007-04-06
   Days after vaccination:7
Submitted: 2007-06-14
   Days after onset:69
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anogenital warts
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: SPRINTEC
Current Illness: Sexually active
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02478

Write-up: Information has been received from a physician''s assistant concerning a 25 year old female patient, who was sexually active since October, 2006, and who on 26-JAN-2007 was vaccinated, IM, with the first dose, 0.5ml, of Gardasil, and on 30-MAR-2007, was vaccinated IM, with the second dose, 0.5ml, of Gardasil. Concomitant therapy included SPRINTEC. On 06-APR-2007, following the second vaccination, the patient developed genital warts. At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. No additional information has been requested.


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