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This is VAERS ID 282215

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 282215 (history)  
Form: Version .0  
Age: 19.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-01-22
Onset:2007-05-22
   Days after vaccination:120
Submitted: 2007-06-18
   Days after onset:27
Entered: 2007-06-19
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 1 UN / UN

Administered by: Other       Purchased by: Unknown
Symptoms: Abortion induced, Drug exposure during pregnancy, Papilloma viral infection, Pregnancy test positive, Smear cervix abnormal
SMQs:, Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Termination of pregnancy and risk of abortion (narrow), Normal pregnancy conditions and outcomes (narrow)

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: Papilloma viral infection; Atypical squamous cells of undetermined significance; Low grade squamous intraepithelial lesion
Allergies:
Diagnostic Lab Data: Pap test-abnormal-ASCUS, LGSIL, HPV; beta-human chorionic 05/22/07 positive
CDC Split Type:

Write-up: Initial and follow up information has been received, from a physician and a healthcare professional, concerning a 19 year old white female patient, with no previous pregnancies and a history of an abnormal pap (indicating human papilloma virus, atypical s"quamous cell of undetermined significance and a low grade squamous intraepithelial lesion; date unspecified), who on 21-NOV-2006, was vaccinated with the first dose of Gardasil (Lot #653650/0702F), and on 22-JAN-2007 with the second dose of Gardasil (Lot


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=282215


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