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This is VAERS ID 272307

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272307
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Chills, Pyrexia

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: penicillin (unspecified)
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: test, date, value unit, normal range, comment body temp, 11/10/06, 102.7 degr
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 20 year old female patient with no allergies or medical history who on 09-NOV-2006, was vaccinated with the first 0.5 L, dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot unspecified). Concomit"ant therapy included penicillin. On 09-NOV-2006, at 1:30 P.M., the patient developed chills and fever of 102.7 degrees on 10-NOV-2006 at 7:00 P.M. The patient did not seek medical attention. The patient treated herself with acetaminophen (TYLENOL). The


Changed on 12/8/2009

272307 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Chills, Pyrexia

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: penicillin (unspecified)
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: test, date, value unit, normal range, comment body temp, 11/10/06, 102.7 degr
CDC 'Split Type': (blank) WAES0701USA01050

Write-up:Information has been received from a physician concerning a 20 year old female patient with no allergies or medical history who on 09-NOV-2006, was vaccinated with the first 0.5 L, dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot unspecified). Concomit"ant Concomitant therapy included penicillin. On 09-NOV-2006, at 1:30 P.M., the patient developed chills and fever of 102.7 degrees on 10-NOV-2006 at 7:00 P.M. The patient did not seek medical attention. The patient treated herself with acetaminophen (TYLENOL). The patient''s symptoms lasted until noon on 11-NOV-2006. Additional information has been requested.


Changed on 9/14/2017

272307 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-09
Onset:2006-11-09
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Body temperature increased, Chills, Pyrexia

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: penicillin (unspecified)
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: test, date, value unit, normal range, comment body temp, 11/10/06, 102.7 degr
CDC 'Split Type': WAES0701USA01050

Write-up:Information has been received from a physician concerning a 20 year old female patient with no allergies or medical history who on 09-NOV-2006, was vaccinated with the first 0.5 L, dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) (lot unspecified). Concomitant therapy included penicillin. On 09-NOV-2006, at 1:30 P.M., the patient developed chills and fever of 102.7 degrees on 10-NOV-2006 at 7:00 P.M. The patient did not seek medical attention. The patient treated herself with acetaminophen (TYLENOL). The patient''s symptoms lasted until noon on 11-NOV-2006. Additional information has been requested.


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