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This is VAERS ID 271366

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271366
Age:
Gender:Unknown
Location:Connecticut
Vaccinated:2006-11-10
Onset:2006-11-11
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Condition aggravated, Crohn''s disease

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

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) with Crohn''''s disease who on 10-NOV-2006 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil vaccine (yeast) (Lot # 653978/0955F). On 11-NOV-2006 the pa"tient had a flair up of Crohn''''s disease after receiving the Gardasil vaccine (yeast). The flair up was so severe that the patient had to be out of school for a month. The patient sought unspecified medical attention. No product quality complaint was invo


Changed on 12/8/2009

VAERS ID: 271366 Before After
Age:
Gender:Unknown
Location:Connecticut
Vaccinated:2006-11-10
Onset:2006-11-11
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Condition aggravated, Crohn's disease, Crohn''s disease

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Crohn''s disease
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA03418

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) with Crohn''''s Crohn''s disease who on 10-NOV-2006 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil vaccine (yeast) (Lot # 653978/0955F). On 11-NOV-2006 the pa"tient patient had a flair up of Crohn''''s Crohn''s disease after receiving the Gardasil vaccine (yeast). The flair up was so severe that the patient had to be out of school for a month. The patient sought unspecified medical attention. No product quality complaint was invo involved. At the time of this report, the patient was recovering. The flair up of Crohn''s disease was considered to be disabling. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 271366 Before After
Age:(blank) 15.0
Gender:Unknown
Location:Connecticut
Vaccinated:2006-11-10
Onset:2006-11-11
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Condition aggravated, Crohn's disease

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Crohn''s disease
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA03418

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) with Crohn''s disease who on 10-NOV-2006 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil vaccine (yeast) (Lot # 653978/0955F). On 11-NOV-2006 the patient had a flair up of Crohn''s disease after receiving the Gardasil vaccine (yeast). The flair up was so severe that the patient had to be out of school for a month. The patient sought unspecified medical attention. No product quality complaint was involved. At the time of this report, the patient was recovering. The flair up of Crohn''s disease was considered to be disabling. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 271366 Before After
Age:15.0
Gender:Unknown
Location:Connecticut
Vaccinated:2006-11-10
Onset:2006-11-11
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Condition aggravated, Crohn's disease

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Crohn''s disease
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA03418

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) with Crohn''s disease who on 10-NOV-2006 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil vaccine (yeast) (Lot # 653978/0955F). On 11-NOV-2006 the patient had a flair up of Crohn''s disease after receiving the Gardasil vaccine (yeast). The flair up was so severe that the patient had to be out of school for a month. The patient sought unspecified medical attention. No product quality complaint was involved. At the time of this report, the patient was recovering. The flair up of Crohn''s disease was considered to be disabling. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 271366 Before After
Age:15.0
Gender:Unknown
Location:Connecticut
Vaccinated:2006-11-10
Onset:2006-11-11
Submitted:2007-01-26
Entered:2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Condition aggravated, Crohn's disease

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Crohn''s disease
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA03418

Write-up:Information has been received from a physician concerning a patient (age and gender unknown) with Crohn''s disease who on 10-NOV-2006 was vaccinated intramuscularly with a 0.5 mL dose of Gardasil vaccine (yeast) (Lot # 653978/0955F). On 11-NOV-2006 the patient had a flair up of Crohn''s disease after receiving the Gardasil vaccine (yeast). The flair up was so severe that the patient had to be out of school for a month. The patient sought unspecified medical attention. No product quality complaint was involved. At the time of this report, the patient was recovering. The flair up of Crohn''s disease was considered to be disabling. Additional information has been requested.


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