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This is VAERS ID 271121

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271121
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
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 female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an /"adverse reaction/". No details were given of the adverse experie"nce. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 271121 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an /"adverse reaction/". "adverse reaction". No details were given of the adverse experie"nce. experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 271121 Before After
Age:(blank) 14.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2006-10-19
Onset:0000-00-00 2006-12-14
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0089F / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 5/11/2010

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:Unknown New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-01-16 2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089F 0689F / - 0 - UN / - UN

Administered by: Other Private      Purchased by: Other Private
Symptoms: Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


Changed on 7/31/2010

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Malaise

Life Threatening? No
Died? No
Permanent Disability? No
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': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Malaise, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
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': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


Changed on 1/4/2011

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Malaise, Adverse drug reaction

Life Threatening? No
Died? No
Permanent Disability? No
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': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Malaise

Life Threatening? No
Died? No
Permanent Disability? No
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': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 271121 Before After
Age:14.0
Gender:Female
Location:New Hampshire
Vaccinated:2006-10-19
Onset:2006-12-14
Submitted:2007-04-06
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0689F / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Malaise

Life Threatening? No
Died? No
Permanent Disability? No
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': WAES0612USA02748

Write-up:Information has been received from a registered nurse concerning a female (age not reported) who on an unspecified date was vaccinated with Gardasil. Subsequently, the patient developed an "adverse reaction". No details were given of the adverse experience. At the time of this report, the outcome of the event was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/16/2007. Initial and follow up information has been received from a licensed practical nurse (previously reported as registered nurse) and the mother of a 15 year old female student. On 19-OCT-2006, the patient was vaccinated in the left deltoid with the first dose of GARDASIL (Lot # 653736/0689F). The mother reported that on 14-DEC-2006, her daughter had been ill since the shot. The patient sought unspecified medical attention. It was reported that the primary care physician (PCP) had advised against getting another shot. At the time of this report, the patient had recovered from the event (date unknown). Additional information has been requested.


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