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This is VAERS ID 393258

Case Details

VAERS ID: 393258 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2010-07-20
Entered: 2010-07-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cervical dysplasia, Hysterectomy, Smear cervix abnormal
SMQs:, Reproductive premalignant disorders (narrow), Malignancy related therapeutic and diagnostic procedures (narrow), Uterine and fallopian tube malignant tumours (broad), Uterine and fallopian tube tumours of unspecified malignancy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Cervical smear, ??09, normal (before vaccination); cervical smear, ??Mar?10, CIN III (after 3 doses of GARDASIL vaccination)
CDC Split Type: WAES1007TWN00025

Write-up: Information has been received from a physician concerning a 35 year old female who was vaccinated with 3 doses of GARDASIL in 2009. The patient''s cervical smear was normal before vaccination. However, the patient''s cervical smear showed abnormal (cervical intraepithelial neoplasia iii) after 3 doses of vaccination. The patient was hospitalized and received laparoscopic assisted vaginal total hysterectomy on 18-Mar-2010. Subsequently, the patient recovered from cervical intraepithelial neoplasia iii. Cervical intraepithelial neoplasia iii was considered to be disabling. No further information is available.


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