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This is VAERS ID 271167

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271167
Age:12.0
Gender:Female
Location:Michigan
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. - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Hepatitis acute, Liver function test abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: STRATTERA CONCERTA
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: hepatic function tests 70
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 12 year old female who on an unspecified date was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast) (lot# not provided). Concomitant therapy included Strattera and Concer"ta. Subsequently, the patient presented to the reporting physicians office for her second dose of Gardasil vaccine (yeast) and the patient''''s mother reported that the patient had been diagnosed with /"acute immune hepatitis/". The physician reported that


Changed on 12/8/2009

VAERS ID: 271167 Before After
Age:12.0
Gender:Female
Location:Michigan
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. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hepatitis acute, Liver function test abnormal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: STRATTERA CONCERTA
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: hepatic function tests 70
CDC 'Split Type': (blank) WAES0701USA00228

Write-up:Information has been received from a physician concerning a 12 year old female who on an unspecified date was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast) (lot# not provided). Concomitant therapy included Strattera and Concer"ta. Concerta. Subsequently, the patient presented to the reporting physicians office for her second dose of Gardasil vaccine (yeast) and the patient''''s patient''s mother reported that the patient had been diagnosed with /"acute "acute immune hepatitis/". hepatitis". The physician reported that the patient was asymptomatic, looked fine and was not sick. The physician did not give the second dose of the vaccine at that time based on the report from the mother. The physician reported that she is watching the patient''s liver function tests which have progressively risen to 70. The reporting physician felt that the auto immune hepatitis was not related to therapy with Gardasil vaccine (yeast). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271167&WAYBACKHISTORY=ON


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