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This is VAERS ID 270248

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270248
VAERS Form:
Age:21.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Vision blurred

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: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from an nurse concerning a 21 year old female with allergic reaction to antibiotics (Septra) who on 01 Dec 2006 was vaccinated intramuscularly in the left deltoid with HPV vaccine. Concomitant therapy included hormonal contra"ceptives (unspecified). On 01 Dec 2006 about three hours post vaccination the patient developed blurry vision in her left eye. No other symptoms were reported. Unspecified medical attention was sought. At the time of this report the patient had not recove


Changed on 12/8/2009

270248 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Vision blurred

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: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0612USA00467

Write-up:Information has been received from an nurse concerning a 21 year old female with allergic reaction to antibiotics (Septra) who on 01 Dec 2006 was vaccinated intramuscularly in the left deltoid with HPV vaccine. Concomitant therapy included hormonal contra"ceptives contraceptives (unspecified). On 01 Dec 2006 about three hours post vaccination the patient developed blurry vision in her left eye. No other symptoms were reported. Unspecified medical attention was sought. At the time of this report the patient had not recove recovered from the blurry vision. Additional information has been requested.


Changed on 9/14/2017

270248 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Vision blurred

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: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0612USA00467

Write-up:Information has been received from an nurse concerning a 21 year old female with allergic reaction to antibiotics (Septra) who on 01 Dec 2006 was vaccinated intramuscularly in the left deltoid with HPV vaccine. Concomitant therapy included hormonal contraceptives (unspecified). On 01 Dec 2006 about three hours post vaccination the patient developed blurry vision in her left eye. No other symptoms were reported. Unspecified medical attention was sought. At the time of this report the patient had not recovered from the blurry vision. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270248&WAYBACKHISTORY=ON


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