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This is VAERS ID 263219

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263219
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Influenza like illness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date, was vaccinated intramuscularly with the first dose of 0.5 ml of HPV rLi 6 11 16 18 VLP vaccine (yeast). The day after receiving HPV rLi 6 11"16 18 VLP vaccine (yeast), the patient developed /"flu-like symptoms/" (date unknown). The patient sought unspecified medical attention. At the time of this report, the patient had recovered from the event (date unknown). Additional information has bee


Changed on 12/8/2009

VAERS ID: 263219 Before After
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza like illness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0608USA05355

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date, was vaccinated intramuscularly with the first dose of 0.5 ml of HPV rLi 6 11 16 18 VLP vaccine (yeast). The day after receiving HPV rLi 6 11"16 11 16 18 VLP vaccine (yeast), the patient developed /"flu-like symptoms/" "flu-like symptoms" (date unknown). The patient sought unspecified medical attention. At the time of this report, the patient had recovered from the event (date unknown). Additional information has bee been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263219&WAYBACKHISTORY=ON


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