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History of Changes from the VAERS Wayback Machine |
First Appeared on 12/30/2006 |
VAERS ID: | 269203 |
VAERS Form: | |
Age: | 20.0 |
Gender: | Female |
Location: | Arizona |
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | - / 0 | - / IM |
Administered by: Other Purchased by: Unknown
Symptoms: Vomiting, Decreased appetite
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 nurse practitioner concerning a 20 year old female who on 13 Nov 2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13 Nov 2006 the patient experienced nausea, vomiting"and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
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. | - / 0 | - / IM |
Administered by: Other Purchased by: Unknown Other
Symptoms: Vomiting, Decreased appetite
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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) WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13 Nov 2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13 Nov 2006 the patient experienced nausea, vomiting"and vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | - UN / IM |
Administered by: Other Private Purchased by: Other Private
Symptoms: Vomiting, Decreased appetite
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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 Unknown
Current Illness:
Preexisting Conditions: UNK Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13 Nov 2006 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13 Nov 2006 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Nausea, Vomiting, Decreased appetite
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Nausea, Vomiting, Decreased appetite
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Nausea, Vomiting, Decreased appetite
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 0 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Nausea, Vomiting, Decreased appetite
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Vaccinated: | 2006-11-13 |
Onset: | 2006-11-13 |
Submitted: | 2006-12-14 |
Entered: | 2006-12-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | - / 1 | UN / IM |
Administered by: Private Purchased by: Private
Symptoms: Nausea, Vomiting, Decreased appetite
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0611USA04596
Write-up: Information has been received from a nurse practitioner concerning a 20 year old female who on 13-NOV-2006 was vaccinated intramuscularly with the first dose of Gardasil (yeast) (Lot # not provided). On 13-NOV-2006 the patient experienced nausea, vomiting and decreased appetite. Unspecified medical attention was sought. At the time of this report it was unknown if the patient had recovered from these events. Additional information has been requested. This is in follow-up to report(s) previously submitted on 12/14/2006. Follow-up information from the nurse practitioner indicated that the patient recovered. Additional information is not expected.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269203&WAYBACKHISTORY=ON
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