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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 267445 |
VAERS Form: | |
Age: | |
Sex: | Female |
Location: | Unknown |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | - / - | UN / - |
Administered by: Other Purchased by: Unknown
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspeci"fied medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. A
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. | - / - | UN / - |
Administered by: Other Purchased by: Unknown Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspeci"fied unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. A Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - | UN / - UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / - UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 2006-11-14 |
Entered: | 2006-11-16 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / UNK | UN / UN |
Administered by: Other Purchased by: Other
Symptoms: Upper respiratory tract infection
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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0610USA11832
Write-up: Information has been received from a nurse practitioner concerning a female (age not reported) who on an unspecified date was vaccinated with a 0.5 ml dose of HPV vaccine. Subsequently the pt developed an upper respiratory infection. The pt sought unspecified medical attention. The nurse practitioner stated that she told the pt when the pt called the office that she did not feel the upper respiratory infection was caused by the HPV vaccine. No further information was provided at the time of this report. Additional information has been requested.
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267445&WAYBACKHISTORY=ON
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