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| VAERS ID: | 326083 | Vaccinated: | 2008-05-20 | | Age: | 15.0 | Onset: | 2008-05-21, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-08-14, Days after onset: 85 | | Location: | Wisconsin | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: Fatigue | | Diagnostic Lab Data: rapid streptococcus - 05/22/08 - negative; body temp, 05/22/08, 102.3 F | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: | | CDC 'Split Type': WAES0807USA02221 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 1978U | 0 | IM | UN | |
| Administered by: Private Purchased by: Other | | Symptoms: Body temperature normal, Pharyngolaryngeal pain, Pyrexia, Streptococcus identification test | | Write-up: Information has been received from a registered nurse concerning a 15 year old female who on 20-MAY-2008 was vaccinated with the first dose of GARDASIL vaccine (yeast) (Lot # 659964/1978U) at approximately 4:15 pm. On 21-MAY-2008, the patient developed a 102F fever after vaccination and a sore throat. On 22-MAY-2008, patient sought medical attention at the physician's office where a rapid strep test was negative. Treatment was acetaminophen (TYLENOL) and ibuprofen. On an unknown date, the patient recovered. Additional information has been requested. 10/08/08 This is in follow-up to report(s) previously submitted on 8/14/2008. Additional information was received from the registered nurse. At the time of vaccination, the patient had fatigue. No further information is available. |
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| VAERS ID: | 326084 | Vaccinated: | 0000-00-00 | | Age: | | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-08-14 | | Location: | Texas | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA02224 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | | IM | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Dizziness, Dysgeusia, Nausea | | Write-up: Information has been received from a physician concerning a female who was vaccinated intramuscularly on an unspecified date with a dose of GARDASIL vaccine (yeast) (lot# not reported). Subsequently the patient experienced nausea, dizziness and an "abnormal taste sensation in her mouth" sometime after the vaccination. The patient sought medical attention by calling the office. The patient's outcome was not reported. Additional information has been requested. |
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| VAERS ID: | 326085 | Vaccinated: | 2008-05-01 | | Age: | 18.0 | Onset: | 2008-05-01, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-08-14, Days after onset: 105 | | Location: | Oregon | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: None | | Previous Vaccinations: | | Other Medications: None | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA02227 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Injection site pain | | Write-up: Information has been received from a nurse concerning an about 18 year old female who in approximately May 2008 was vaccinated with GARDASIL vaccine (yeast). That same day, the patient developed injection site soreness which was still sore one week after vaccination. The patient sought medical attention by a phone call. The patient outcome was not reported. Additional information has been requested. |
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| VAERS ID: | 326086 | Vaccinated: | 2008-05-01 | | Age: | 24.0 | Onset: | 2008-05-01, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-08-14, Days after onset: 105 | | Location: | Pennsylvania | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: None | | Previous Vaccinations: | | Other Medications: hormonal contraceptives | | Preexisting Conditions: None | | CDC 'Split Type': WAES0807USA02232 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | 0 | | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Skin papilloma | | Write-up: Information has been received from a mother concerning her 24 year old daughter who in May 2008 was vaccinated with the first dose of GARDASIL vaccine (yeast), injection form, (Lot # was not available). Concomitant therapy included hormonal contraceptives (unspecified). In approximately May 2008, 2 to 3 weeks after receiving the first dose of GARDASIL vaccine (yeast) the patient developed warts on her hand. The patient's warts on hand persisted. The patient sought medical attention of a dermatologist. Additional information has been requested. |
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| VAERS ID: | 326087 | Vaccinated: | 2008-05-11 | | Age: | 14.0 | Onset: | 2008-05-11, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-08-14, Days after onset: 95 | | Location: | California | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA02233 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | DTP | UNKNOWN MANUFACTURER | | | UN | UN | | HPV4 | MERCK & CO. INC. | | 0 | UN | UN | | MNQ | SANOFI PASTEUR | | | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Agitation, Blood pressure increased, Dizziness, Syncope, Urinary retention | | Write-up: Information has been received from a physician concerning a "14 year old" female who on approximately 11-MAY-2008 was vaccinated with her first dose of GARDASIL vaccine (yeast) (lot# not reported). Concomitant therapy included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid and meningococcal ACYW conj vaccine (dip toxoid) (MENACTRA). On approximately 11-MAY-2008 the patient felt dizzy, agitated, had elevated blood pressure, was holding in urine and fainted. Subsequently, the patient recovered from feeling dizzy, agitated, elevated blood pressure, holding in urine and fainting. The patient sought unspecified medical attention on an unspecified date. Additional information has been requested. |
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| VAERS ID: | 326088 | Vaccinated: | 0000-00-00 | | Age: | 14.0 | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-08-14 | | Location: | New York | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA02248 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | 0 | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Headache, Movement disorder, Pain in extremity, Pyrexia | | Write-up: Information has been received from a physician concerning her 14 year old female daughter was vaccinated on an unspecified date with her first dose of GARDASIL vaccine (yeast). A week later she the patient experienced fever of about 103 degrees, had a headache and her left arm had pain and difficulty moving. Subsequently, the patient recovered. No further information is available. |
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| VAERS ID: | 326089 | Vaccinated: | 0000-00-00 | | Age: | | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-08-14 | | Location: | Florida | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA03006 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | 0 | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Urticaria | | Write-up: Information has been received from a physician concerning a female who on an unspecified date was vaccinated with the first dose of GARDASIL vaccine (yeast) 0.5ml. Subsequently the patient developed hives. Subsequently, the patient recovered from hives. The patient sought medical attention with a telephone call. Additional information has been requested. |
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| VAERS ID: | 326090 | Vaccinated: | 0000-00-00 | | Age: | 17.0 | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-08-14 | | Location: | Tennessee | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA03008 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | 2 | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: No reaction on previous exposure to drug, Pain in extremity | | Write-up: Information has been received from a physician concerning a 17 year old female who was vaccinated with the third dose of GARDASIL vaccine (yeast) (lot#, therapy route and dose not reported). On the same day of vaccination of the third dose, the patient had arm pain and achiness down the length of the arm from the shoulder down to the hand. Which arm unspecified. The patient's arm hurt a couple of days after vaccination then it went away and then came back. The patient did not have any problems with the first and second doses of GARDASIL vaccine (yeast). The patient came into office to seek medical attention. The patient was prescribed unspecified medications for the achiness. As of 15-JUL-2008, the arm pain persisted. Additional information has been requested. |
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| VAERS ID: | 326091 | Vaccinated: | 2008-07-15 | | Age: | 11.0 | Onset: | 2008-07-15, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2008-08-14, Days after onset: 30 | | Location: | Texas | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA03014 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | 0 | UN | UN | | MNQ | SANOFI PASTEUR | | | UN | UN | | TDAP | UNKNOWN MANUFACTURER | | | UN | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Headache, Injection site reaction, Peripheral coldness | | Write-up: Information has been received from a physician concerning an 11 year old female patient who on 15-JUL-2008 was vaccinated with the first dose of GARDASIL vaccine (yeast). Concomitant vaccination included meningococcal ACYW conj vaccine (dip toxoid) (MENACTRA) and diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid (manufacturer unknown). The physician reported that post-vaccination, the patient complained of headache and that her arm was cold at the injection site. The patient was given ibuprofen (ADVIL) and felt better. The patient was sent home. At the time of the report the patient was recovering. The patient sought medical attention at the physician's office. Additional information has been requested. |
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| VAERS ID: | 326092 | Vaccinated: | 0000-00-00 | | Age: | | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2008-08-14 | | Location: | Unknown | Entered: | 2008-08-18, Days after submission: 4 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: Unknown | | Previous Vaccinations: | | Other Medications: Unknown | | Preexisting Conditions: Unknown | | CDC 'Split Type': WAES0807USA03015 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | | | IM | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Syncope | | Write-up: Information has been received from a physician assistant concerning a female patient who on an unspecified date, was vaccinated with a dose of GARDASIL vaccine (yeast), 0.5ml, intramuscularly for HPV prevention. The physician assistant reported that the patient fainted after receiving the vaccine. The patient recovered on the same day of the vaccination. The patient sought unspecified medical attention. Additional information has been requested. / |
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