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This is VAERS ID 270255

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270255
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-03
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 03 Nov 2006 was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. On 03 Nov"e 2006 the patient experienced shortness of breath, chest pain, chest tightness and numbness in the arm that lasted approximately 30 minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 12/8/2009

270255 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-03
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA00785

Write-up:Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 03 Nov 2006 was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. On 03 Nov"e Nove 2006 the patient experienced shortness of breath, chest pain, chest tightness and numbness in the arm that lasted approximately 30 minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 6/14/2014

270255 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-03
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00785

Write-up:Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 03 Nov 2006 was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. On 03 Nove 2006 the patient experienced shortness of breath, chest pain, chest tightness and numbness in the arm that lasted approximately 30 minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 5/14/2017

270255 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-03
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00785

Write-up:Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 03 Nov 2006 was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. On 03 Nove 2006 the patient experienced shortness of breath, chest pain, chest tightness and numbness in the arm that lasted approximately 30 minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

270255 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:California
Vaccinated:2006-11-03
Onset:2006-11-03
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Chest pain, Dyspnoea, Hypoaesthesia

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA00785

Write-up:Information has been received from a physician concerning an 18 year old female with no pertinent medical history or drug reactions/allergies, who on 03 Nov 2006 was vaccinated with Gardasil (yeast) (0.5 ml). There was no concomitant medication. On 03 Nove 2006 the patient experienced shortness of breath, chest pain, chest tightness and numbness in the arm that lasted approximately 30 minutes. Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270255&WAYBACKHISTORY=ON


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