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This is VAERS ID 267451

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

267451
VAERS Form:
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol"and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


Changed on 12/8/2009

267451 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': (blank) WAES0610USA12132

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol"and Tylenol and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


Changed on 3/14/2014

267451 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0610USA12132

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


Changed on 6/14/2014

267451 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0610USA12132

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


Changed on 3/14/2015

267451 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0610USA12132

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


Changed on 9/14/2017

267451 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Missouri
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: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES0610USA12132

Write-up:Information has been received from a physician concerning a 15 year old female who was vaccainted with the first dose of HPV vaccine (lot # not provided). Subsequently the pt experienced low grade fever. The physician reported that the pt received Tylenol and felt better. Subsequently, the pt recovered from the low grade fever. Additional information has been requested.


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