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This is VAERS ID 270248

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270248
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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
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

VAERS ID: 270248 Before After
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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hormonal contraceptives
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
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.


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


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