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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 269162 |
VAERS Form: | |
Age: | |
Sex: | Female |
Location: | Wyoming |
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptom"s and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | - / IM |
Administered by: Private Purchased by: Unknown Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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) WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptom"s symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2006-12-14 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | - UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 0 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Vaccinated: | 2006-10-10 |
Onset: | 2006-10-10 |
Submitted: | 2007-04-06 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0702F / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Influenza like illness, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
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': WAES0610USA12076
Write-up: Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10 Oct 206 was vaccinated IM with her first dose of Gardasil (yeast), lot #653650/0720F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 12/14/2006. Initial and follow up information has been received from a Registered Nurse concerning a white female patient who on the afternoon of 10-OCT-2006 was vaccinated IM with her first dose of GARDASIL, lot #653650/0702F, and experienced flu-like symptoms and vomiting. No medical attention was sought. Within a day or two, the patient recovered. Follow up information indicated that the patient received her second dose of GARDASIL and had no adverse experience. Additional information is not expected.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269162&WAYBACKHISTORY=ON
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