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This is VAERS ID 270913

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270913
VAERS Form:
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:0000-00-00
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


Changed on 12/8/2009

270913 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:0000-00-00
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


Changed on 4/7/2010

270913 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:0000-00-00 2007-01-11
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


Changed on 6/14/2014

270913 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:2007-01-11
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


Changed on 5/14/2017

270913 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:2007-01-11
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


Changed on 9/14/2017

270913 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Nebraska
Vaccinated:2007-01-08
Onset:2007-01-11
Submitted:2007-01-15
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Chest X-ray normal, Dyspnoea, Electrocardiogram normal

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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC 'Split Type':

Write-up:36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.


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