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This is VAERS ID 271180

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271180
VAERS Form:
Age:14.0
Gender:Female
Location:Utah
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-01-25
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0906F / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Injection site rash

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

Write-up:pt had a rash at the injection site, and had a severe headache


Changed on 12/8/2009

271180 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Utah
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-01-25
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0906F / 1 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Injection site rash

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

Write-up:pt had a rash at the injection site, and had a severe headache


Changed on 5/14/2017

271180 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Utah
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-01-25
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0906F / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: NONE~~~0~In NONE~ ()~~0.00~In Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:pt had a rash at the injection site, and had a severe headache


Changed on 9/14/2017

271180 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Utah
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-01-25
Entered:2007-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0906F / 1 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~0.00~In Patient
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:pt had a rash at the injection site, and had a severe headache


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271180&WAYBACKHISTORY=ON


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