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This is VAERS ID 272216

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272216
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-07
Onset:2006-11-07
Submitted:2007-02-14
Entered:2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1213R / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08005 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Malaise, Nausea, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:On 11/7/2006, Patient was administered Hepatitis B vaccine (dose #2) and Gardasil (dose #1), and developed severe nausea and vomiting approximately 12 hours later, lasting for approximately 1 hour. Patient felt ill the following day, then recovered. No"rash, no fevers. No other reactions. No prior reactions to HepB vaccine.


Changed on 12/8/2009

VAERS ID: 272216 Before After
Age:15.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-07
Onset:2006-11-07
Submitted:2007-02-14
Entered:2007-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1213R / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08005 / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Malaise, Nausea, Vomiting

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:On 11/7/2006, Patient was administered Hepatitis B vaccine (dose #2) and Gardasil (dose #1), and developed severe nausea and vomiting approximately 12 hours later, lasting for approximately 1 hour. Patient felt ill the following day, then recovered. No"rash, No rash, no fevers. No other reactions. No prior reactions to HepB vaccine.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272216&WAYBACKHISTORY=ON


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