They help us to know which pages are the most and least popular and see how visitors move around the site. During the same time frame, reports of serious health issues after HPV vaccination were consistently rare, the study found. Our syndication services page shows you how. Kjaer SK, Nygrd M, Dillner J, et al. (2016). Teens and young adults through age 26 years who didnt start or finish the HPV vaccine series also need HPV vaccination. Arnheim-Dahlstrm L, Pasternak B, Svanstrm H, Sparn P, Hviid A. Autoimmune, neurological, and venous thromboembolic adverse events after immunisation of adolescent girls with quadrivalent human papillomavirus vaccine in Denmark and Sweden: Cohort study. Harper DM, Nieminen P, Donders G, et al. HPV vaccination works extremely well. The first dose is routinely recommended at ages 11-12 years old. (2016). Michael Yeadon was a scientific researcher and vice president at drugs giant Pfizer Inc. DOI: Centers for Disease Control and Prevention (CDC). You have to look at this finding and the vaccine uptake [rates] together. According to recent data, there has been a steady increase in HPV vaccination rates. New England Journal of Medicine 2002; 347(21):16451651. Mild to moderate side effects can include: If you get the vaccine and have any of these side effects or other unusual symptoms, or if the symptoms persist, you should talk to your doctor. Effect of human papillomavirus 16/18 L1 viruslike particle vaccine among young women with preexisting infection: A randomized trial. Women with HPV are 35 times more likely to develop cervical cancer. Liu XC, et al. The effect of vaccination against human papillomavirus on fecundability. HealthDay Reporter. said that while the motion filed could start a "legal flood against our vaccination system," it will not stop the . Dr. Pamela Deak HPV (human papillomavirus) is a virus that's spread by skin-to-skin and sexual contact. Gardasil 9 has, since 2016, been the only HPV vaccine used in the United States. Only two doses are needed if the first dose was given before 15 th birthday. About Baum Hedlund Aristei & Goldman Baum Hedlund Aristei & Goldmanis one of the nation's leading law firms representing individuals harmed by the Gardasil vaccine. 6 min read. Use of a 2-dose schedule for human papillomavirus vaccination Updated recommendations of the Advisory Committee on Immunization Practices. . But since she became sick and disabled within days of getting the shot, we firmly believe her adverse reactions were caused by the Gardasil vaccine. Within a month after the shot she was bedridden, and wheel-chair bound if she had to be transported. Vaccines, like any medicine, can have side effects. This makes the vaccines highly effective. Markowitz LE, Naleway AL, Lewis RM, et al. JAMA 2007; 298(7):743753. Most people's immune systems are able to clear HPV viruses in about 12 months and most people who catch Yang A, Farmer E, Wu TC, Hung CF. This is because getting them before a person's first sexual contact can offer lifelong protection against HPV-related . We will hold Merck accountable for the harm the company has caused. Almost 90% of people get HPV infection if they are not vaccinated1,7 and there is no treatment for HPV infection. Lower red blood cell folate enhances the HPV-16-associated risk of cervical intraepithelial neoplasia. The federal Affordable Care Act requires most private insurance plans to cover recommended preventive services (including HPV vaccination) with no copay or deductible. A single dose vaccine may be highly effective in preventing human papillomavirus (HPV), according to newly published research. The HPV vaccine is designed to help protect against the related viruses and cancers that may cause cervical cancer. Now, they're promoting the anti-parasitic to prevent and treat the flu and RSV. Certain strains of HPV can cause genital warts, cervical cancer, and other types of cancer. (2014). The Centers for Disease Control and Prevention (CDC) recommends that the HPV vaccine be given to girls and boys between ages 11 and 12. These vaccines are Gardasil, Gardasil 9, and Cervarix. In addition, the federal Vaccines for Children Program provides immunization services for children younger than 19 years who are Medicaid eligible, uninsured, underinsured, or Native American or Alaska Native. Best practice & research. DOI: Genital HPV infection Fact sheet. If you would like to reproduce some or all of this content, see Reuse of NCI Information for guidance about copyright and permissions. HPV can cause: Cervical cancer Anal cancer World Health Organization. In England, girls and boys aged 12 to 13 years are routinely offered the 1st HPV vaccination when they're in school Year 8. Morbidity and Mortality Weekly Report 2019; 68(33):724728. Rare side effects are the biggest con. Ongoing clinical trials are testing the safety and efficacy of a therapeutic DNA vaccine to treat HPV-related cervical and vulvar lesions. HPV vaccination and the risk of invasive cervical cancer. In addition, Cervarix has been found to provide substantial protection against a few additional cancer-causing HPV types, a phenomenon called cross-protection (16). Shimabukuro TT, Su JR, Marquez PL, et al. The Gardasil HPV vaccine has been proved to have caused the deaths of 32 women. 2 doses with a 6-month interval for women older than 21. Assessing impact of HPV vaccination on cervical cancer incidence among women aged 1529 years in the United States, 19992017: An ecologic study. MONDAY, March 26, 2018 (HealthDay News) -- Teen boys in the United States are less likely than girls to be vaccinated against human papillomavirus ( HPV) because many doctors . 3:20-cv-01048) includes allegations of negligence, failure to warn, and manufacturing defects, among others. A recent VSD study of the 9-valent HPV vaccine (Gardasil 9), for example, tracked new vaccinations over a 2-year period and identified no new safety issues. These can largely be prevented by keeping the person seated for up to 15 minutes after vaccination. Huh WK, Joura EA, Giuliano AR, et al. As the incidence of cervical cancer has declined in the United States, due mainly to cervical cancer screening, the incidence of HPV-associated oropharyngeal, vulvar, and anal cancershas been increasing (25). Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The protection provided by HPV vaccines lasts a long time. Published Apr 22, 2009. Due to her symptoms, Sahara was no longer able to attend school in the same manner she did prior to her Gardasil injection. Arana JE, Harrington T, Cano M, et al. Vaccine 2018; 36(13):17811788. Meanwhile, the rate of nonserious health issues following HPV vaccination reported in VAERS dropped from 43 to 28 per 100,000 vaccine doses. (2017). Overall, the best way to prevent HPV is by getting vaccinated. Efficacy of quadrivalent HPV vaccine against HPV infection and disease in males. To date, no serious side effects have been shown to be caused by the vaccines. Another prevention strategy that is being explored is topical microbicides. We take your privacy seriously. Each one involves a series of two or three. The FDA and CDC have reminded health care providers that, to prevent falls and injuries, all vaccine recipients should remain seated or lying down and be closely observed for 15 minutes after vaccination. One other con of the HPV vaccines is that theyre limited in what they do: Whos most at risk of getting HPV if theyre not vaccinated? In a survey of more than 1,000 U.S. physicians, some doctors reported . The study looked at data from 2015 to 2018, Dr. Vanderpool noted, well before the COVID-19 pandemic and rising hesitancy around COVID-19 vaccines. Population-level impact and herd effects following the introduction of human papillomavirus vaccination programmes: Updated systematic review and meta-analysis. The Gardasil vaccines also protect against strains 6 and 11. She was homeschooled through the majority of 6th through 12th grades, mostly bedridden and confined to a wheelchair. HPV vaccine has the potential to prevent more than 90% of HPV-attributable cancers. Moreover, the HPV vaccine only covers a limited number of HPV strains. Human papillomavirus ( HPV) vaccine coverage data for vaccinations received by year 8 and year 9 females and males, by local authority and NHS England local team: academic year 2020 to 2021. Melissa Roglitz-Walker. The HPV vaccine is a safe and effective way to protect against the serious health problems that HPV can cause. Our website services, content, and products are for informational purposes only. France currently lags behind other European nations on HPV vaccine coverage among teenagers - which was at 50 percent in 20 European countries in 2020. Human Papillomavirus Quadrivalent (Types 6, 11, 16, 18) Vaccine, Recombinant. HPV vaccines can cause pain, swelling, and redness where the shot was given, as well as headaches, tiredness, and nausea. Impact of human papillomavirus (HPV) 16 and 18 vaccination on prevalent infections and rates of cervical lesions after excisional treatment. Dietary intakes of selected nutrients and food groups and risk of cervical cancer. Cancer 2008; 113(10 Suppl):30363046. As weeks became months, Sahara's symptoms and injuries continued to worsen. Healthline Media does not provide medical advice, diagnosis, or treatment. HPV vaccines have also been found to reduce infections in other tissues that HPV infects, including the anus (7) and oral region (8, 9). Currently, Grade 7 students in Ontario can receive the HPV9 vaccine through the school-based immunization program. There are different approaches to estimate the vaccine effectiveness/efficacy against persistent HPV infections. Since 2016, the only vaccine thats used in the U.S. is Gardasil 9. Merck, the manufacturer of Gardasil 9, offers the Merck Vaccine Patient Assistance Program, which provides Gardasil 9 for free to people aged 19 to 45 years who live in the United States, do not have health insurance, and have an annual household income less than a certain amount. Probably the most important con for the HPV vaccine is potential side effects. Doctor Elena Ratner, a gynecologic oncologist at Yale Cancer Center and Smilow Hospital says success is being seen as a result of Gardasil 9, the vaccine to prevent HPV, which is a. Human papillomavirus vaccination coverage among adolescents, 20072013, and postlicensure vaccine safety monitoring, 20062014--United States. New England Journal of Medicine 2011; 364(5):401411. She thought she was being a really good, responsible parent. If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. The vaccine requires. Of the over 35,000 HPV-related cancers seen annually . HPV is a group of more than 200 related viruses, of which more than 40 are spread through direct sexual contact. Clinical Infectious Diseases 2018; 66(3):339345. There are also resources like smartphone apps, she added, that teach health care providers effective strategies for talking with parents about the HPV vaccine. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. A. About 60 per cent of 12-year-olds were immunized in 2018-19. When typing in this field, a list of search results will appear and be automatically updated as you type. Studies have shown that while individuals trust medical professionals for health information, a growing number are turning to the internet for first and second opinions about HPV, HPV vaccines, and HPV-associated cancer, they continued. Each of these vaccines protects against HPV types 16 and 18. That means the first adolescents who were vaccinated are now in their 20s. HPV vaccine may be available at doctor offices, community health clinics, school-based health centers, and health departments. A controlled trial of a human papillomavirus type 16 vaccine. We are, however, against intentional efforts to mislead consumers about the safety and effectiveness of a drug or vaccine. Despite more than 15 years of consistent evidence that HPV vaccines are safe and effective, a new study has found that more parents are citing concerns about the vaccines safety in recent years. (I very much doubt that a properly carried out RCT was ever done to prove that the HPV vaccine protects against cervical cancer because, in general, cervical cancer develops late in life (i.e. Some people report having very mild side effects, like a sore arm from the shot. The list of casualties and grim injuries continues to multiply. 2020 research indicates that not only does HPV vaccination prevent the viruses . Vaccination is not recommended for everyone older than age 26 years. Nationwide programs, such as CDCs Vaccinate with Confidence program, can help tackle vaccine misinformation and provide resources for effective communications, Dr. Sonawane said. The U.S. Food and Drug Administration today approved a supplemental application for Gardasil 9 (Human Papillomavirus (HPV) 9-valent Vaccine, Recombinant) expanding the approved use of the. Patients, caregivers, health care professionals, and vaccine manufacturers can use VAERS to voluntarily report any health problems that occur after vaccination. Human papillomavirus, or HPV, can cause cancer in men and women and will infect three in four Canadians during their lifetime, according to the Canadian Cancer Society. CDC recommends that 11- to 12-year-olds receive two doses of HPV vaccine 6 to 12 months apart. Berenson notes that as. Dr. Abby Berenson, a. Expert Review of Vaccines 2014; 13(11):12791290. In addition, the vaccines may reduce the need for screening and subsequent medical care, biopsies, and invasive proceduresassociated with follow-up from abnormal cervical screening, thus helping to reduce health care costs and anxieties related to follow-up procedures (24). But . Gardasil makes good vaccines look bad. Not only does vaccination protect vaccinated individuals against infection by the HPV types targeted by the vaccine that is used (and possibly other types, depending on the extent of cross protection), but vaccination can also reduce the prevalence of the vaccine-targeted HPV types in the population, thereby reducing infection in individuals who are not vaccinated (a phenomenon called herd protection, or herd immunity). Senkomago V, Henley SJ, Thomas CC, e al. My worry is that youre going to have a synergy or convergence, and [HPV vaccine hesitancy] might get worse, she said. Nearly 2 in 5 doctors (39 percent) did not recommend on-time HPV vaccination for their male patients. Researchers are currently investigating whether a single dose of HPV vaccine might be effective. A happy, healthy young girl who had just scored in the top 97th percentile of all Wisconsin students in math, Sahara consistently performed well academically, participated in sports, and was active socially with her friends and peers. (2018). Gillison ML, Chaturvedi AK, Lowy DR. HPV prophylactic vaccines and the potential prevention of noncervical cancers in both men and women. HPV infection. Is one dose of human papillomavirus vaccine as effective as three? Men get cancers caused by HPV in large numbers, too. at the National Institutes of Health, An official website of the United States government, Centers for Disease Control and Prevention, Advisory Committee on Immunization Practices, ACIP specifies different dosing schedules, U.S. Department of Health and Human Services, HPV types 6 and 11, which cause 90% of genital warts (, HPV types 16 and 18, two high-risk HPVs that cause about 70% of cervical cancers and an even higher percentage of some of the other. Want to use this content on your website or other digital platform? Our firm has always foughtand will continue to fightfor the rights of consumers to be fully and honestly informed about risks associated with any drug, vaccine, chemical, medical device, or consumer product. Early treatment of cervical cancer can . MMWR. Sadly, Merck learned no lessons. However, these are rare. You cant tell people theyre wrong if you actually want them to hear alternative information. HPV is an extremely common STI that many people who are sexually active will have at some point in their lives. The results from the small study recently published suggest that the vaccine may help prevent against new HPV infections, and associated cervical, vulvar, and other HPV-related cancers in women with a donor-acquired immune system. Human papillomavirus vaccines: WHO position paper, May 2017-Recommendations. American Journal of Obstetrics and Gynecology 2016; 215(2):212.e1212.e15. More than 12 years of safety monitoring show that the vaccines have caused no serious side effects. It is the most common sexually transmitted infection in the United States. DOI: HPV vaccine for preteens and teens. She spent the next five years being severely disabled and unable to attend school or participate in activities she once enjoyed. This vaccine protects against nine HPV types (6, 11, 16, 18, 31, 33, 45, 52, and 58). Before Merck brought Gardasil to market, the company negligently designed and conducted clinical trials to prevent the clinical trials from revealing the vaccine's true risks, including autoimmune diseases, the lawsuit alleges. In 2006, females ages 9 to 26 started receiving the HPV vaccine for the first time. Changes in the prevalence of human papillomavirus following a national bivalent human papillomavirus vaccination programme in Scotland: A 7-year cross-sectional study. Immunisation against HPV is not recommended for pregnant people. A year later, her medication regimen was up to 55 pills per day. Rising incidence of late-stage head and neck cancer in the United States. Safety of the 9-valent human papillomavirus vaccine. Journal of Clinical Oncology 2018; 36(3):262267. The HPV vaccine can protect children as young as 11 years old and adults up to 45 years old. Lancet Oncology 2011; 12(9):862870. There has been a rise in negative and incorrect informationalso called misinformationabout HPV vaccines on social media in recent years, Dr. Sonawane noted. Post-licensure safety monitoring of quadrivalent human papillomavirus vaccine in the Vaccine Adverse Event Reporting System (VAERS), 20092015. Evaluation of durability of a single dose of the bivalent HPV vaccine: The CVT trial. Perspectives for therapeutic HPV vaccine development. Enhertu May Be Preferred Therapy for Some Metastatic Breast Cancers, Adjuvant Immunotherapy Approved for Some Patients with Lung Cancer, If you would like to reproduce some or all of this content, see Reuse of NCI Information for guidance about copyright and permissions. Most people receive the HPV vaccine without having any serious side effects. Sahara's mother, Mrs. Melissa Roglitz-Walker, wanted her daughter to get the Gardasil vaccine after seeing marketing from Merck maintaining that Gardasil was very safe and prevents cancer. cancer.gov/about-cancer/causes-prevention/risk/infectious-agents/hpv-fact-sheet, cdc.gov/vaccines/parents/diseases/teen/hpv.html, cdc.gov/vaccines/vpd/hpv/public/index.html, naturopathic.org/article_content.asp?article=788, mayoclinic.org/diseases-conditions/hpv-infection/symptoms-causes/syc-20351596, Everything you Need to Know About Human Papillomavirus Infection, Common Types of Human Papillomavirus (HPV), Human Papillomavirus (HPV) of the Mouth: What You Should Know, HPV and HPV Tests: Everything You Need to Know, More Boys Are Getting Vaccinated Against HPV: Why That's Important, Why a Single Dose HPV Vax Could be a Game-Changer, Everything You Need to Know About HPV for People with a Vulva and Vagina. Vaccines for human papillomavirus (HPV) are used to prevent HPV infection and reduce a person's risk of getting HPV-associated cancers in later life, including cervical cancer and anal cancer . The results are sobering evidence of how insidious and persistent these concerns are across the United States, with increased rates nearer to 100% . Stokley S, Jeyarajah J, Yankey D, et al. "We are pro-vaccine. Two NCI-led clinical trials have been launched in Costa Rica to confirm and extend these findings. Bariatric Surgery May Reduce Risk of Common Cancers, U.S. Department of Health and Human Services. Since late 2016, only Gardasil-9 (9vHPV) is distributed in the United States. DOI: Piyathilake CJ, et al. Gardasil; Human Papillomavirus Bivalent (Types 16 and 18) Vaccine, Recombinant HPV vaccination has the potential to virtually eliminate cervical cancer. Researchers are working to develop therapeutic HPV vaccines, which instead of preventing HPV infection would prevent cancer from developing among women previously infected with HPV (3740). The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. They have ever had a life-threatening allergic reaction to any ingredient of an HPV vaccine, or to a previous dose of HPV vaccine. More information is available from the CDC on its HPV Vaccine page. We avoid using tertiary references. The HPV vaccination is free for: All children in Grade 6 (ages 11-12) Youth/adults born in 2006 or later who missed their Grade 6 vaccination; HIV-positive people 9-26 years of age; Transgender or . Though rare, adverse reactions to vaccines are very real. F or the past decade, evidence has suggested that Gardasil, the HPV vaccine, could stem an epidemic of throat cancer. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Title: Human papillomavirus (HPV) Vaccines and Cervical Cancer Author: UK Health Security Agency Subject: Human papillomavirus \(HPV\) Vaccines and Cervical Cancer factsheet; UK Health Security Agency gateway number 2021112 With little to no relief from her symptoms, Sahara was unable to engage in the activities she had enjoyed before receiving the Gardasil vaccine. Giuliano AR, Palefsky JM, Goldstone S, et al. All rights reserved. Statements from the Plaintiff and Her Mother. If you doubt their good intentions, theyre not going to hear you out, regardless of how sparse the evidence is for their beliefs, she said. Merck allegedly used the DNA adjuvant to prolong Gardasil's immunological effects but illegally omitted it from its list of substances and ingredients in the vaccine. Also, HPV vaccination reduces the risk of developing cancers caused by HPV at sites other than the cervix. Immunocompromised . Mayo Clinic Staff. As the fervor grew, Todd Wolynn, a fellow doctor and a co-founder of Shots Heard Round the World, an informal group that seeks to protect vaccine advocates from online abuse, enlisted 16. Maldonado. Pharma companies that develop vaccines should not be allowed to police themselves and cherry pick their own data to mislead the FDA and the public about the safety and efficacy of their vaccines. HPV vaccines protect against infection with human papillomaviruses (HPV). People who received HPV vaccines were followed for at least about 12 years, and their protection against HPV has remained high with no evidence of decreasing over time. Journal of the National Cancer Institute 2020; 112(10):10381046. Lancet Oncology 2020; 21(12):16431652. People with severe allergiesto any component of a vaccine should not receive that vaccine. To fully benefit from the vaccine, its essential to receive all injections. "Antivaccine rhetoric was also not given much space in the media" during the pandemic, she says. Kreimer AR, Sampson JN, Porras C, et al. It is likely that someone previously infected with HPV will still get some residual benefit from vaccination, even if he or she has already been infected with one or more of the HPV types included in the vaccines. All three HPV vaccines protect against HPV types 16 and 18 that cause most HPV cancers. Widespread HPV vaccination has the potential to reduce cervical cancer incidence around the world by as much as 90% (16, 19). Infectious Diseases 2017; 17(12):12931302. Our suspicion is that the rising safety concerns are probably being driven by [the] use of social media and people trying to find vaccine information online, said the studys lead researcher, Kalyani Sonawane, Ph.D., of UTHealth School of Public Health in Houston, Texas. If you have questions about the HPV vaccine, including its pros or cons, talk to your doctor. To look at trends in health issues reported after HPV vaccination, the researchers turned to the Vaccine Adverse Event Reporting System (VAERS), a website operated by CDC and FDA. MMWR Morbidity and Mortality Weekly Report 2019; 68(32):698702. The firm has a long track record of success holding pharmaceutical and chemical companies accountable. To change peoples minds, the key is to not be judgmental and to provide the time and space for in-depth conversations, Dr. Kobrin noted. by Elia Ben-Ari, December 22, 2022, Human papillomavirus (HPV) and cervical cancer. Persistent high-risk human papillomavirus (HPV) infection is endorsed by the World Health Organization as an intermediate endpoint for evaluating HPV vaccine effectiveness/efficacy. The HPV vaccine is well-studied and safe; it has been in use since 2006. The Centers for Disease Control and Prevention, the American Academy of Pediatrics, and the American Academy of Family Physicians have each been urging doctors to maintain vaccination schedules. Sarah Kobrin, Ph.D., M.P.H., head of NCIs Health Systems and Interventions Research Branch, who wasnt involved in the study, agreed. Although the results are yet to be published, the studies suggest that well-respected local organizations can have a positive influence on peoples perceptions about HPV vaccines, Dr. Kobrin said. The COVID-19 pandemic demonstrated the power of vaccines to reduce severe illness and deaths, which eventually tipped the scales for the HPV vaccines as well, Hanley says. Papillomavirus Research 2019; 8:100177. The HPV vaccine, approved by the FDA in 2006, is recommended for girls ages 9 and older, before they become sexually active. Quadrivalent HPV vaccine safety review and safety monitoring plans for nine-valent HPV vaccine in the United States. A better approach, Dr. Kobrin went on, would be to say, Lets all talk about why we believe what we believe. Some people should not get some HPV vaccines if: HPV vaccines are safe for children who are mildly ill, like those with a low-grade fever of less than 101 degrees, a cold, runny nose, or cough. Gee J, Naleway A, Shui I, et al. Before receiving the HPV vaccine, Sahara had no autoimmune diseases, no autonomic issues, and no orthostasis. sex without a condom or other barrier method, a routine of smoking or chewing tobacco, which weakens the immune system, a diet thats low in important vitamins, minerals, and other nutrients. (2017). Human papillomavirus vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP). What is the evidence? There are 30 to 40 strains of sexually transmitted human papillomavirus (HPV). The rates of adverse side effects were consistent with what was seen in safety studies carried out before the vaccine was approved and were similar to those seen with other vaccines. Hancock G, Hellner K, Dorrell L. Therapeutic HPV vaccines. Reduced prevalence of oral human papillomavirus (HPV) 4 years after bivalent HPV vaccination in a randomized clinical trial in Costa Rica. Human papillomavirus (HPV) vaccination: What everyone should know. The doctor pointed to a November 2020 "Science Translational Medicine . Cervical cancer is the fifth most common cancer among Thai women, with the human papillomavirus (HPV) a major cause. Of sexually transmitted human papillomavirus vaccination coverage among adolescents, 20072013, and health departments holding pharmaceutical chemical! And Cervarix been a rise in negative and incorrect informationalso called misinformationabout HPV vaccines sexually transmitted human vaccine. To look at this finding and the potential to prevent HPV is not recommended for everyone older than.! Getting vaccinated monitoring, 20062014 -- United States after excisional treatment is no treatment for infection. The only HPV vaccine without having any serious side effects have been shown to transported. ):30363046 and cancers that may cause cervical cancer incidence among women aged 1529 years in the prevalence of human... Among others transmitted infection in the United States studies, academic research institutions, and other types cancer. 36 ( 3 ):262267 Gynecology 2016 ; 215 ( 2 ).! Gardasil, the HPV vaccine against HPV types 16 and 18 5 ):401411 and. Improve the performance of our site typing in this field, a list of search results will and. Health problems that occur after vaccination including its pros or cons, talk to your doctor common cancer Thai!, Sampson JN, Porras C, et al people receive the HPV9 vaccine through the school-based Immunization program %! 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