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| History of Changes from the VAERS Wayback Machine |
First Appeared on 12/30/2006 | ||
| VAERS ID: | 264748 |
| Age: | 20.0 |
| Gender: | Female |
| Location: | Indiana |
| Vaccinated: | 2006-09-12 |
| Onset: | 2006-09-13 |
| Submitted: | 2006-10-13 |
| Entered: | 2006-10-17 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | 0641F / 0 | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Pain, Pyrexia
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MICROGESTIN FE
Current Illness:
Preexisting Conditions: Sulfonamide allergy
Diagnostic Lab Data: Body temp 09/13/06 103.6 degr
CDC 'Split Type':
Write-up:Initial and follow up information has been received from a physician concerning a 20 year old female patient with sulfonamide allergy who on 12-SEP-2006 at 13:45 p.m. was vaccinated IM in the left deltoid with her first dose of HPV rL1 6 11 16 18 VLP vacc"ine (yeast), lot #653650/0641. Concomitant therapy included ethinyl estradiol (+) ferrous fumarate (+) norethindrone acetate (MICROGESTIN FE). On the early morning of 13-SEP-2006 the patient developed a fever to 103.6 degrees F, and generalized body aches
| Vaccinated: | 2006-09-12 |
| Onset: | 2006-09-13 |
| 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. | 0641F / 0 | - / IM |
Administered by: Private Purchased by: Unknown Private
Symptoms: Pain, Pyrexia
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MICROGESTIN FE
Current Illness:
Preexisting Conditions: Sulfonamide allergy
Diagnostic Lab Data: Body temp 09/13/06 103.6 degr
CDC 'Split Type': (blank) WAES0609USA03694
Write-up:Initial and follow up information has been received from a physician concerning a 20 year old female patient with sulfonamide allergy who on 12-SEP-2006 at 13:45 p.m. was vaccinated IM in the left deltoid with her first dose of HPV rL1 6 11 16 18 VLP vacc"ine vaccine (yeast), lot #653650/0641. Concomitant therapy included ethinyl estradiol (+) ferrous fumarate (+) norethindrone acetate (MICROGESTIN FE). On the early morning of 13-SEP-2006 the patient developed a fever to 103.6 degrees F, and generalized body aches aches. Medical attention was sought. On 18-SEP-2006, the patient recovered. Additional information is not expected.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=264748&WAYBACKHISTORY=ON
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