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This is VAERS ID 269013

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269013
Age:28.0
Gender:Female
Location:Florida
Vaccinated:2006-11-07
Onset:2006-11-08
Submitted:2006-12-13
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diplopia, Vision blurred

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

Write-up:Information has been received from a health professional concerning a 28 year old female speech language assistant with no illness at the time of the vaccination and a history of cardiac murmur and migraine who on 07 Nov 2006 was vaccinated with first dos"e of HPV vaccine (lot 653735/0688F) in the right deltoid at approximately 1100 hours. On 08 Nov 2006, the patient called the medical facility and complained of experiencing blurred vision. On 09 Nov 2006, the patient experienced seeing double. The patient


Changed on 12/8/2009

VAERS ID: 269013 Before After
Age:28.0
Gender:Female
Location:Florida
Vaccinated:2006-11-07
Onset:2006-11-08
Submitted:2006-12-13
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Diplopia, Vision blurred

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Cardiac murmur, migraine.
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0612USA00854

Write-up:Information has been received from a health professional concerning a 28 year old female speech language assistant with no illness at the time of the vaccination and a history of cardiac murmur and migraine who on 07 Nov 2006 was vaccinated with first dos"e dose of HPV vaccine (lot 653735/0688F) in the right deltoid at approximately 1100 hours. On 08 Nov 2006, the patient called the medical facility and complained of experiencing blurred vision. On 09 Nov 2006, the patient experienced seeing double. The patient was told to go to the emergency room immediately. On 12 Nov 2006, the patient recovered. It was reported that the events required medical/surgical intervention (other important medical Events) (OMIC). No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269013&WAYBACKHISTORY=ON


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