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This is VAERS ID 284155

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284155
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / IM

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

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: 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.


Changed on 9/14/2017

284155 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 1 UN / IM

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

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: 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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