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Re: Gyn: HPV vaccination From: Gordon Goldman (obgyndoc@swbell.net) Fri Jan 4 09:29:05 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: l.glazerman@rcn.com: "Re: Gyn: HPV vaccination" Previous message: R. Daniel Braun: "Re: More posterior than you think" In reply to: Garry E. Siegel, M.D.: "Gyn: HPV vaccination" Next in thread: Andrew Folley: "Re: Gyn: HPV vaccination" Reply: Andrew Folley: "Re: Gyn: HPV vaccination" Since we don't have any long term (>5-6yr) data, there is no way to know if there would be any long term compromise at this point. Agree that any adverse events should already have occurred. CYA would dictate expressing the unknowns to pts. and parent(s). Also, make certain you document telling them that if there is loss of immunity, that is their fault, not yours or the drug manufacturer. -- Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Mo. On Jan 4, 2008, at 10:21 AM, Garry E. Siegel, M.D. wrote: > A longstanding patient's two daughters, 16 and 18, were vaccinated > a bit > off scheduled due to a logistic error. The Mom is concerned about > potential side effects, if any, and long term immunity. She has > actually called Merck and not gotten much from them (understandably). > > Anyway, my horse sense is that they'll be fine in terms of immunity, > given the high immunogenicity of the vaccination, and that any side > effects that could have happened would have done so already. > > Vaccination dates: > > 12/21/06 > 1/18/07 (a bit earlier than the minimum per Merck) > 6/8/07 > > Any thoughts? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: l.glazerman@rcn.com: "Re: Gyn: HPV vaccination" Previous message: R. Daniel Braun: "Re: More posterior than you think" In reply to: Garry E. Siegel, M.D.: "Gyn: HPV vaccination" Next in thread: Andrew Folley: "Re: Gyn: HPV vaccination" Reply: Andrew Folley: "Re: Gyn: HPV vaccination"

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