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This is VAERS ID 265801

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

265801
VAERS Form:
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-10-25
Onset:2006-10-25
Submitted:2006-10-26
Entered:2006-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient reports she vomited 1 time approximately 4 hours following injection of Gardasil. Patient''''s mother reports that the patient vomited following the first injection in series.


Changed on 12/8/2009

265801 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-10-25
Onset:2006-10-25
Submitted:2006-10-26
Entered:2006-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient reports she vomited 1 time approximately 4 hours following injection of Gardasil. Patient''''s Patient''s mother reports that the patient vomited following the first injection in series.


Changed on 9/14/2017

265801 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-10-25
Onset:2006-10-25
Submitted:2006-10-26
Entered:2006-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient reports she vomited 1 time approximately 4 hours following injection of Gardasil. Patient''s mother reports that the patient vomited following the first injection in series.


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