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This is VAERS ID 271896

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271896
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-02-06
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Aphasia, C-reactive protein normal, Chills, Computerised tomogram normal, Blood electrolytes normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: computed axial 01/30/07 - negative, magnetic resonance 01/30/07 - negative, complete blood cell 01/30/07 - negative, serum c-reactive 01/30/07 - negative, serum electrolytes test 01/30/07 - negative, temperature measurement 01/30/07 - fever
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 26-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot# not reported), IM. There was"no concomitant medication. On 26-JAN-2007, the patient developed a sore throat, fever, and chills later that evening. She went to the emergency room on 30-JAN-2007 where she exhibited expressive aphasia. A computed tomography (CT) scan showed nothing. She


Changed on 12/8/2009

271896 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-02-06
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Aphasia, C-reactive protein normal, Chills, Computerised tomogram normal, Full blood count normal, Nuclear magnetic resonance imaging normal, Pharyngolaryngeal pain, Pyrexia, Blood electrolytes normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: computed axial 01/30/07 - negative, magnetic resonance 01/30/07 - negative, complete blood cell 01/30/07 - negative, serum c-reactive 01/30/07 - negative, serum electrolytes test 01/30/07 - negative, temperature measurement 01/30/07 - fever
CDC 'Split Type': (blank) WAES0702USA00217

Write-up:Information has been received from a physician concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 26-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot# not reported), IM. There was"no was no concomitant medication. On 26-JAN-2007, the patient developed a sore throat, fever, and chills later that evening. She went to the emergency room on 30-JAN-2007 where she exhibited expressive aphasia. A computed tomography (CT) scan showed nothing. She was admitted to the hospital where she a neurology consult. All tests have come up negative (CT scan, magnetic resonance imaging, complete blood count, electrolytes, and C-reactive protein). The physician stated that the patient has 3 chinchilla pets and one of them has a fungal infection which is currently being treated with myconazole spray. The physician consulted the veterinarian as well as an infectious disease specialist. The physician saw the patient today and she was able to form some sentences. The physician is observing the patient and will order some additional tests. The physician reported the event will be a disability if this adverse event continues. Additional information has been requested.


Changed on 9/14/2017

271896 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-26
Onset:2007-01-26
Submitted:2007-02-06
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Aphasia, C-reactive protein normal, Chills, Computerised tomogram normal, Full blood count normal, Nuclear magnetic resonance imaging normal, Pharyngolaryngeal pain, Pyrexia, Blood electrolytes normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: computed axial 01/30/07 - negative, magnetic resonance 01/30/07 - negative, complete blood cell 01/30/07 - negative, serum c-reactive 01/30/07 - negative, serum electrolytes test 01/30/07 - negative, temperature measurement 01/30/07 - fever
CDC 'Split Type': WAES0702USA00217

Write-up:Information has been received from a physician concerning a 24 year old female with no pertinent medical history and no history of drug reactions/allergies who on 26-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot# not reported), IM. There was no concomitant medication. On 26-JAN-2007, the patient developed a sore throat, fever, and chills later that evening. She went to the emergency room on 30-JAN-2007 where she exhibited expressive aphasia. A computed tomography (CT) scan showed nothing. She was admitted to the hospital where she a neurology consult. All tests have come up negative (CT scan, magnetic resonance imaging, complete blood count, electrolytes, and C-reactive protein). The physician stated that the patient has 3 chinchilla pets and one of them has a fungal infection which is currently being treated with myconazole spray. The physician consulted the veterinarian as well as an infectious disease specialist. The physician saw the patient today and she was able to form some sentences. The physician is observing the patient and will order some additional tests. The physician reported the event will be a disability if this adverse event continues. Additional information has been requested.


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