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This is VAERS ID 267469

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267469
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Pain, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 deg"rees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recov


Changed on 12/8/2009

VAERS ID: 267469 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
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. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type': (blank) WAES0610USA14943

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 deg"rees degrees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recov recovered from the events. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 267469 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2006-11-14 2007-04-06
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 0 - UN / - IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Pain, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No No
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type': WAES0610USA14943

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 degrees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 11/14/2006. Initial and follow up information has been received from a physician concerning an 18 year old white female student who on 23-OCT-2006 was vaccinated intramuscularly in the arm with the first 0.5 mL dose of GARDASIL. There were no concomitant medications reported. On 23-OCT-2006, the patient developed a high fever of 102 degrees after receiving shot of GARDASIL. The temperature continued for three days and on 26-OCT-2006 was noted at 100 degrees. The patient also developed achy legs. On 30-OCT-2006, that next week, the patient was diagnosed with mononucleosis. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 7/31/2010

VAERS ID: 267469 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-06
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Mononucleosis syndrome, Pain, Pain in extremity, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type': WAES0610USA14943

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 degrees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 11/14/2006. Initial and follow up information has been received from a physician concerning an 18 year old white female student who on 23-OCT-2006 was vaccinated intramuscularly in the arm with the first 0.5 mL dose of GARDASIL. There were no concomitant medications reported. On 23-OCT-2006, the patient developed a high fever of 102 degrees after receiving shot of GARDASIL. The temperature continued for three days and on 26-OCT-2006 was noted at 100 degrees. The patient also developed achy legs. On 30-OCT-2006, that next week, the patient was diagnosed with mononucleosis. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 267469 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-06
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Mononucleosis syndrome, Pain, Pain in extremity, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type': WAES0610USA14943

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 degrees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 11/14/2006. Initial and follow up information has been received from a physician concerning an 18 year old white female student who on 23-OCT-2006 was vaccinated intramuscularly in the arm with the first 0.5 mL dose of GARDASIL. There were no concomitant medications reported. On 23-OCT-2006, the patient developed a high fever of 102 degrees after receiving shot of GARDASIL. The temperature continued for three days and on 26-OCT-2006 was noted at 100 degrees. The patient also developed achy legs. On 30-OCT-2006, that next week, the patient was diagnosed with mononucleosis. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 267469 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-06
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Mononucleosis syndrome, Pain, Pain in extremity, Pyrexia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: body temp 10/23/06 102, body temp 10/26/06 100.
CDC 'Split Type': WAES0610USA14943

Write-up:Information has been received from a physician concerning an 18 year old female who on 23 Oct 2006 was vaccinated with 0.5mL of Gardisil (yeast). There were no concomitant medications reported. On 23 Oct 2006, the patient developed a high fever of 102 degrees after receiving shot of Gardisil. The temperature continued for three days and was now noted at 100 degrees. The patient also developed achy legs. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 11/14/2006. Initial and follow up information has been received from a physician concerning an 18 year old white female student who on 23-OCT-2006 was vaccinated intramuscularly in the arm with the first 0.5 mL dose of GARDASIL. There were no concomitant medications reported. On 23-OCT-2006, the patient developed a high fever of 102 degrees after receiving shot of GARDASIL. The temperature continued for three days and on 26-OCT-2006 was noted at 100 degrees. The patient also developed achy legs. On 30-OCT-2006, that next week, the patient was diagnosed with mononucleosis. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267469&WAYBACKHISTORY=ON


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