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This is VAERS ID 269248

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269248
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-24
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain upper, Medication error, Nausea, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Papilloma viral infection
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a 19 year old female with a history of papilloma viral infection and no known allergies or adverse drug reactions reported. On 22 Nov 2006, the patient was vaccinated with Gardasil vaccine (yeast). There were no concomit"ant medications reported. On 24 Nov 2006, the patient reported /"feeling sick to her stomach, developed nausea and had trouble eating starting two days after receiving Gardasil vaccine (yeast) and the experience had lasted until now/". The patient reporte


Changed on 12/8/2009

269248 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-24
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. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain upper, Medication error, Nausea, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Papilloma viral infection
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA00308

Write-up:Information has been received from a 19 year old female with a history of papilloma viral infection and no known allergies or adverse drug reactions reported. On 22 Nov 2006, the patient was vaccinated with Gardasil vaccine (yeast). There were no concomit"ant concomitant medications reported. On 24 Nov 2006, the patient reported /"feeling "feeling sick to her stomach, developed nausea and had trouble eating starting two days after receiving Gardasil vaccine (yeast) and the experience had lasted until now/". now". The patient reporte reported that there was a "possibility she could be pregnant", but would not know until 05 Dec 2006. At the time of this report, the patient had not recovered from the events. Additional information has been requested.


Changed on 9/14/2017

269248 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-24
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain upper, Medication error, Nausea, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Papilloma viral infection
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00308

Write-up:Information has been received from a 19 year old female with a history of papilloma viral infection and no known allergies or adverse drug reactions reported. On 22 Nov 2006, the patient was vaccinated with Gardasil vaccine (yeast). There were no concomitant medications reported. On 24 Nov 2006, the patient reported "feeling sick to her stomach, developed nausea and had trouble eating starting two days after receiving Gardasil vaccine (yeast) and the experience had lasted until now". The patient reported that there was a "possibility she could be pregnant", but would not know until 05 Dec 2006. At the time of this report, the patient had not recovered from the events. Additional information has been requested.


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