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This is VAERS ID 263232

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 263232 (history)  
Form: Version .0  
Age: 26.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2006-08-21
Onset:2006-08-21
   Days after vaccination:0
Submitted: 2006-09-14
   Days after onset:24
Entered: 2006-09-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / -

Administered by: Public       Purchased by: Unknown
Symptoms: Laboratory test abnormal, Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: diagnostic laboratory 08/21/2006 /"comprehensive metabolic panel tests/", electrocardiogram 08/21/06, absolute neutrophil 08/21/06 7.9 K/ul 2.0-609, total urine ketones 08/21/06 $g-80 negative, urine bacteria screen 08/21/2006 4+, urine WBC co
CDC Split Type:

Write-up: Information has been received from an other health professional concerning a 26 year old female in sales with no pre-existing allergies, birth defects or medical conditions reported. On 21-AUG-2006, in the pm, the patient was vaccinated in the left delto"id with the first dose of HPV rLi 6 11 16 18 VLP vaccine (yeast) (lot#653650/0702F). Concomitant therapy included ethinyl estradiol/norgestimate (ORTHO TRI CYCLEN). There were no illness noted at the time of vaccination. On 21-AUG-2006, in the pm, the p


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=263232


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