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This is VAERS ID 272166

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272166
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:0000-00-00
Submitted:2007-01-31
Entered:2007-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - / IM
SMALL: SMALLPOX (DRYVAX) / WYETH PHARMACEUTICALS, INC 4020076 / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR 205722 / 0 - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Pregnancy test negative, Pregnancy test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had negative pregnancy test 1/3/07, given smallpox vaccine and HPV. Had positive pregnancy test 1/27/07.


Changed on 1/5/2010

272166 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:0000-00-00
Submitted:2007-01-31
Entered:2007-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - / IM
SMALL: SMALLPOX (DRYVAX) / WYETH PHARMACEUTICALS, INC 4020076 / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR SANOFI PASTEUR 205722 / 0 - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Pregnancy test negative, Pregnancy test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had negative pregnancy test 1/3/07, given smallpox vaccine and HPV. Had positive pregnancy test 1/27/07.


Changed on 8/31/2010

272166 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:0000-00-00
Submitted:2007-01-31
Entered:2007-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - / IM
SMALL: SMALLPOX (DRYVAX) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4020076 / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR 205722 / 0 - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Pregnancy test negative, Pregnancy test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had negative pregnancy test 1/3/07, given smallpox vaccine and HPV. Had positive pregnancy test 1/27/07.


Changed on 9/14/2017

272166 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:California
Vaccinated:2007-01-03
Onset:0000-00-00
Submitted:2007-01-31
Entered:2007-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 1 - / IM
SMALL: SMALLPOX (DRYVAX) / PFIZER/WYETH 4020076 / 0 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR 205722 / 0 1 - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Pregnancy test negative, Pregnancy test positive

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had negative pregnancy test 1/3/07, given smallpox vaccine and HPV. Had positive pregnancy test 1/27/07.


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