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This is VAERS ID 284155

Case Details

VAERS ID: 284155 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-05-30
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. 0800F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Human papilloma virus test positive, 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: Unknown
Current Illness:
Preexisting Conditions: Psychological disorder NOS
Allergies:
Diagnostic Lab Data: Cervical smear 07 positive for Human Papillomavirus
CDC Split Type: WAES0705USA03743

Write-up: Information has been received from a health professional concerning a 20 year old female, with a "psychological" medical history, who on 28-FEB-2007 was vaccinated with Gardasil. Concomitant medication included sertraline hydrochloride (Zoloft) and topiramate (Topamax). She received her second dose of Gardasil on 03-MAY-2007. Subsequently, the patient had an abnormal pap smear which was positive for Human Papillomavirus. At the time of this report, the patient had not recovered. Additional information has been requested.


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