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This is VAERS ID 272216

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272216
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
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

272216 Before After
VAERS Form:
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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
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.


Changed on 9/14/2017

272216 Before After
VAERS Form:(blank) 1
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 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 08005 / 0 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: none
Preexisting Conditions: none
Allergies:
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.


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