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This is VAERS ID 284532

Case Details

VAERS ID: 284532 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Ohio  
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 - / -

Administered by: Other       Purchased by: Other
Symptoms: Anogenital warts

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: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05716

Write-up: This is in follow-up to report (s) previously submitted on 6/14/2007 information has been received from a physician concerning an 20 year old female. Medical history and concomitant therapies not reported. On an unspecified date the patient was vaccinated with the first dose of Gardasil. Subsequently the patient experienced an outbreak of genital warts. On an unspecified date the patient was vaccinated with the second dose of Gardasil. Subsequently the patient experienced another outbreak of genital warts. The patient sought unspecified medical attention. As of 30-MAY-2007 the patient did not receive a third dose and patient outcome was not reported. Additional information has been requested. Additional information is not expected.

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