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This is VAERS ID 271302

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271302
VAERS Form:
Age:22.0
Gender:Female
Location:Kansas
Vaccinated:2007-01-09
Onset:2007-01-10
Submitted:2007-01-19
Entered:2007-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: 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: Tegretol, Ovcon 35
Current Illness: NONE
Preexisting Conditions: Seizure disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil given 1/9/07. On 1/10/07 complained of lightheadedness, nausea. Ran fever 1/13, 1/14, 1/15.


Changed on 12/8/2009

271302 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Kansas
Vaccinated:2007-01-09
Onset:2007-01-10
Submitted:2007-01-19
Entered:2007-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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: Tegretol, Ovcon 35
Current Illness: NONE
Preexisting Conditions: Seizure disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil given 1/9/07. On 1/10/07 complained of lightheadedness, nausea. Ran fever 1/13, 1/14, 1/15.


Changed on 9/14/2017

271302 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Kansas
Vaccinated:2007-01-09
Onset:2007-01-10
Submitted:2007-01-19
Entered:2007-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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: Tegretol, Ovcon 35
Current Illness: NONE
Preexisting Conditions: Seizure disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil given 1/9/07. On 1/10/07 complained of lightheadedness, nausea. Ran fever 1/13, 1/14, 1/15.


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