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This is VAERS ID 267476

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267476
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-30
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: Erythema, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 30-OCT-2006 was vaccinated with GARDASIL. Subsequently, the patient experienced redness in her face and had vomited. The patient sought unspecified medical attent"ion. At the time of this report, the patient was recovering from the event. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 267476 Before After
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-30
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: Erythema, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA00600

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 30-OCT-2006 was vaccinated with GARDASIL. Subsequently, the patient experienced redness in her face and had vomited. The patient sought unspecified medical attent"ion. attention. At the time of this report, the patient was recovering from the event. Additional information has been requested.


Changed on 3/14/2014

VAERS ID: 267476 Before After
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-30
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: Erythema, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00600

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 30-OCT-2006 was vaccinated with GARDASIL. Subsequently, the patient experienced redness in her face and had vomited. The patient sought unspecified medical attention. At the time of this report, the patient was recovering from the event. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 267476 Before After
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-30
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: Erythema, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00600

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 30-OCT-2006 was vaccinated with GARDASIL. Subsequently, the patient experienced redness in her face and had vomited. The patient sought unspecified medical attention. At the time of this report, the patient was recovering from the event. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 267476 Before After
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:2006-10-30
Onset:2006-10-30
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: Erythema, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00600

Write-up:Information has been received from a registered nurse concerning a 13 year old female who on 30-OCT-2006 was vaccinated with GARDASIL. Subsequently, the patient experienced redness in her face and had vomited. The patient sought unspecified medical attention. At the time of this report, the patient was recovering from the event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267476&WAYBACKHISTORY=ON


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