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This is VAERS ID 270965

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270965
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-01-04
Onset:2007-01-04
Submitted:2007-01-22
Entered:2007-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Dyspnoea, Influenza, Pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 19 year old female who on 04-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (0.5 ml) (lot # 654510/0962F). Subsequently, on 04-JAN-2007, the patient was rushed to the emerge"ncy room with symptoms of body aches, breathing problems and a temperature of 103. The patient was released from the emergency room within 12 hours. The nurse reported that the emergency room physician believed that the above reaction was due to influenza


Changed on 12/8/2009

VAERS ID: 270965 Before After
Age:19.0
Gender:Female
Location:New York
Vaccinated:2007-01-04
Onset:2007-01-04
Submitted:2007-01-22
Entered:2007-01-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Dyspnoea, Influenza, Pain

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA02133

Write-up:Information has been received from a registered nurse concerning a 19 year old female who on 04-JAN-2007 was vaccinated with a first dose of Gardasil (yeast) (0.5 ml) (lot # 654510/0962F). Subsequently, on 04-JAN-2007, the patient was rushed to the emerge"ncy emergency room with symptoms of body aches, breathing problems and a temperature of 103. The patient was released from the emergency room within 12 hours. The nurse reported that the emergency room physician believed that the above reaction was due to influenza influenza. The patient recovered. The reporter considered the patient''s experience to be disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270965&WAYBACKHISTORY=ON


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