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This is VAERS ID 269234

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269234
VAERS Form:
Age:38.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-11
Onset:0000-00-00
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 / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician''''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Conc"omitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''''s office and reported a runny nose and stuffiness since the vac


Changed on 12/8/2009

269234 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Unknown
Vaccinated:2006-09-11
Onset:0000-00-00
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 / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0611USA07581

Write-up:Information has been received from a physician''''s physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Conc"omitant Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''''s physician''s office and reported a runny nose and stuffiness since the vac vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered.


Changed on 1/5/2010

269234 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Unknown Indiana
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Nasal congestion, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07581

Write-up:Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


Changed on 7/31/2010

269234 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Indiana
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Nasal congestion, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07581

Write-up:Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


Changed on 6/14/2014

269234 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Indiana
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Nasal congestion, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07581

Write-up:Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


Changed on 5/14/2017

269234 Before After
VAERS Form:
Age:38.0
Gender:Female
Location:Indiana
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Nasal congestion, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07581

Write-up:Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


Changed on 9/14/2017

269234 Before After
VAERS Form:(blank) 1
Age:38.0
Gender:Female
Location:Indiana
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Nasal congestion, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0611USA07581

Write-up:Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


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