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| VAERS ID: | 263314 | Vaccinated: | 2006-08-28 | | Age: | 13.0 | Onset: | 2006-08-29, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2006-09-19, Days after onset: 21 | | Location: | California | Entered: | 2006-09-20, Days after submission: 1 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: NONE | | Preexisting Conditions: Allergic rhinitis, RAD | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0637F | 0 | | LA | | TDAP | AVENTIS PASTEUR | C2557AA | 0 | | RA | |
| Administered by: Private Purchased by: Private | | Symptoms: Headache, Pyrexia, Rash | | Write-up: On 8/29/06 pt woke up in am to rash on face and fever of 103. Rash not itchy. Treatment Tylenol or Motrin for fever. On 8/30/06 Pt continues with rash on face off and on and also fever continues. Temperature ranging 99.2 - . Also complains of headache. |
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| VAERS ID: | 263332 | Vaccinated: | 2006-09-18 | | Age: | 12.0 | Onset: | 2006-09-19, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2006-09-20, Days after onset: 1 | | Location: | Wisconsin | Entered: | 2006-09-20, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: NONE | | Preexisting Conditions: NONE | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0688F | 0 | IM | RA | |
| Administered by: Private Purchased by: Public | | Symptoms: Arthralgia, Pain | | Write-up: Right hypothenar eminence (thumb) started aching approximately 24 hours after shot administered, then the right wrist ached badly (i.e arthralgia). No other etiology of pain identified. Anaprox DS (Naproxen) and split provided. |
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| VAERS ID: | 263354 | Vaccinated: | 2006-09-06 | | Age: | 17.0 | Onset: | 2006-09-06, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-19, Days after onset: 13 | | Location: | Massachusetts | Entered: | 2006-09-21, Days after submission: 2 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Hormonal contraceptions. | | Preexisting Conditions: | | CDC 'Split Type': WAES0609USA02500 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0800F | 0 | IM | UN | |
| Administered by: Other Purchased by: Other | | Symptoms: Convulsion, Syncope | | Write-up: Information has been received from a nurse practitioner concerning a 17 year old female with no other pertinent medical history, adverse drug reactions or allergies reported. On 9/6/06, at 3:30pm, the pt was vaccianted IM with the first dose of 0.5ml of HPV rL1 6 11 16 18 VLP vaccine yeast (lot 654540/0800F). Concomitant therapy included an unspecified hormonal contraceptives (also reported as birth control). On 9/6/06, the pt developed a mild seizure right after receiving HPV rL1 6 11 16 18 VLP vaccine yeast. The pt came to and immediately fainted again. The pt sought unspecified medical attention. It was reported that the pt had not eaten anything all day. After eating, the pt felt better. On 9/6/06, the pt had fully recovered from the events. Upon internal review, the mild seizure was considered to be an other important medical event. Additional information has been requested. |
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| VAERS ID: | 263370 | Vaccinated: | 2006-08-24 | | Age: | 22.0 | Onset: | 2006-08-25, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2006-09-21, Days after onset: 27 | | Location: | Kansas | Entered: | 2006-09-21, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Ortho Tri cyclen LO x 6 years. | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0688F | 0 | IM | GM | |
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| VAERS ID: | 263539 | Vaccinated: | 2006-09-22 | | Age: | 18.0 | Onset: | 2006-09-22, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2006-09-25, Days after onset: 3 | | Location: | California | Entered: | 2006-09-25, Days after submission: 0 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Seasonal | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0702F | 1 | | RA | |
| Administered by: Private Purchased by: Private | | Symptoms: Syncope | | Write-up: Pt fainted. |
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| VAERS ID: | 263612 | Vaccinated: | 2006-09-01 | | Age: | 18.0 | Onset: | 2006-09-08, Days after vaccination: 7 | | Gender: | Female | Submitted: | 2006-09-25, Days after onset: 17 | | Location: | North Carolina | Entered: | 2006-09-26, Days after submission: 1 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: Singular, Zyrtec | | Preexisting Conditions: Seasonal allergic rhinitis. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0637F | 0 | IM | LA | |
| Administered by: Other Purchased by: Private | | Symptoms: Blister, Erythema, Hypersensitivity, Rash erythematous | | Write-up: Raised erythematous patchy rash of left shoulder (Behind left deltoid muscle) with slight vesicles. Also similar linear rash on left leg (appearance of delayed hypersensitivity) rash began 1 week after injection. |
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| VAERS ID: | 263740 | Vaccinated: | 2006-09-01 | | Age: | 26.0 | Onset: | 2006-09-08, Days after vaccination: 7 | | Gender: | Female | Submitted: | 2006-09-21, Days after onset: 13 | | Location: | Missouri | Entered: | 2006-09-29, Days after submission: 8 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Birth Control Seasonal | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0637F | 0 | | UN | |
| Administered by: Private Purchased by: Private | | Symptoms: Rash pruritic | | Write-up: Itchy bumps, 1 on arm, 1 on breast, 1 on back. |
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| VAERS ID: | 263743 | Vaccinated: | 0000-00-00 | | Age: | 26.0 | Onset: | 0000-00-00 | | Gender: | Female | Submitted: | 2006-09-21 | | Location: | Missouri | Entered: | 2006-09-29, Days after submission: 8 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0637F | 0 | | UN | |
| Administered by: Private Purchased by: Private | | Symptoms: Rash pruritic | | Write-up: Itchy bumps 1 on back, 1 on arm, 1 on leg. |
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| VAERS ID: | 263750 | Vaccinated: | 2006-09-14 | | Age: | 26.0 | Onset: | 2006-09-21, Days after vaccination: 7 | | Gender: | Female | Submitted: | 2006-09-27, Days after onset: 6 | | Location: | Texas | Entered: | 2006-09-29, Days after submission: 2 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: Phentermine 37.5 mg as needed | | Preexisting Conditions: NONE | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0641F | 0 | | LA | |
| Administered by: Private Purchased by: Private | | Symptoms: Joint range of motion decreased, Pain | | Write-up: One week post injection, complain of achy arm where injection was given, difficult to raise arm, no swelling or redness at injection site. |
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| VAERS ID: | 263751 | Vaccinated: | 2006-08-25 | | Age: | 20.0 | Onset: | 2006-08-26, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2000-09-26, Days after onset: 2160 | | Location: | New York | Entered: | 2006-09-29, Days after submission: 2194 | |
| Life Threatening Illness? No |
| Died? No |
| Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: NONE | | Diagnostic Lab Data: NONE | | Previous Vaccinations: | | Other Medications: Yasmin | | Preexisting Conditions: possible polycystic ovary syndrome | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0688F | 0 | IM | LA | |
| Administered by: Private Purchased by: Other | | Symptoms: Injection site reaction, Rash | | Write-up: Rash at injection site at 24 hours after administration, then rash on other arm (at corresponding site) |
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