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This is VAERS ID 264674

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

264674
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
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: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient d"eveloped shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''''s symptoms improved /"on therapy/" (unspecified). No product quality compliant was involved. Shortness of breath and fever were con


Changed on 12/8/2009

264674 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
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: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0610USA04329

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient d"eveloped developed shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''''s patient''s symptoms improved /"on therapy/" "on therapy" (unspecified). No product quality compliant was involved. Shortness of breath and fever were con considered to be other important medical events. Additional information has been requested. (OMIC)


Changed on 12/13/2013

264674 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0610USA04329

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient developed shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''s symptoms improved "on therapy" (unspecified). No product quality compliant was involved. Shortness of breath and fever were considered to be other important medical events. Additional information has been requested. (OMIC)


Changed on 6/14/2014

264674 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0610USA04329

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient developed shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''s symptoms improved "on therapy" (unspecified). No product quality compliant was involved. Shortness of breath and fever were considered to be other important medical events. Additional information has been requested. (OMIC)


Changed on 3/14/2015

264674 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0610USA04329

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient developed shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''s symptoms improved "on therapy" (unspecified). No product quality compliant was involved. Shortness of breath and fever were considered to be other important medical events. Additional information has been requested. (OMIC)


Changed on 9/14/2017

264674 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2006-09-14
Onset:2006-09-14
Submitted:2006-10-13
Entered:2006-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0610USA04329

Write-up:Information has been received from a physician concerning an 18 year old female who on 14-SEP-2006 was vaccinated intramuscularly with a first 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). About an hour after receiving the vaccine, the patient developed shortness of breath and a fever. The patient was directed to the emergency room. It was noted that the patient''s symptoms improved "on therapy" (unspecified). No product quality compliant was involved. Shortness of breath and fever were considered to be other important medical events. Additional information has been requested. (OMIC)


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264674&WAYBACKHISTORY=ON


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