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This is VAERS ID 263862

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263862
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2006-09-28
Onset:2006-09-29
Submitted:2006-10-02
Entered:2006-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Back pain, Fatigue, Headache, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Fatigue, Headache, Backaches, Temp 103, no appetite, x 3 days then was ok no treatment.


Changed on 12/8/2009

VAERS ID: 263862 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2006-09-28
Onset:2006-09-29
Submitted:2006-10-02
Entered:2006-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Anorexia, Back pain, Fatigue, Headache, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Fatigue, Headache, Backaches, Temp 103, no appetite, x 3 days then was ok no treatment.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263862&WAYBACKHISTORY=ON


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