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This is VAERS ID 283973

Case Details

VAERS ID: 283973 (history)  
Age: 15.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Culture urine negative, Herpes simplex serology negative, Vaginal lesion
SMQs:

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: Unknown
Diagnostic Lab Data: serum Herpes virus Ab - negative; urine Trichomonas - negative
CDC Split Type: WAES0705USA02952

Write-up: Information has been received from a physician concerning an approximately 15 year old female who was vaccinated with the third dose of Gardasil. Two weeks after receiving the third dose, the patient experienced a large circular lesion on her vaginal wall. Viral testing including herpes was done and came back negative. No bacterial testing was done. The testing for Trichomonas was negative. The lesion may have resolved. Medical attention was sought. Additional information has been requested.


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