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This is VAERS ID 271136

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271136
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Inappropriate schedule of drug administration, Nausea, Off label use

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medicatio"n. Subsequently, /"in late November/" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 12/8/2009

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Dizziness, Inappropriate schedule of drug administration, Nausea, Wrong drug administered, Off label use

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medicatio"n. medication. Subsequently, /"in "in late November/" November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 2/5/2010

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 4/13/2011

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 5/13/2011

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 6/11/2011

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 6/14/2014

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 5/14/2017

271136 Before After
VAERS Form:
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea, Wrong drug administered

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


Changed on 9/14/2017

271136 Before After
VAERS Form:(blank) 1
Age:53.0
Gender:Male
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Nausea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: Liver disorder
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA03152

Write-up:Information has been received from a consumer concerning her 53 year old father with liver problems and no drug allergies who on 22-NOV-2006 inadvertently received HPV rL1 6 11 16 18 VLP vaccine (yeast) (0.5 ml), orally. There was no concomitant medication. Subsequently, "in late November" the patient experienced nausea, dizziness and weakness. At the time of the report, the patient had not recovered. There were no relevant diagnostic tests or laboratory data. Additional information is not expected.


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