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This is VAERS ID 272478

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272478
VAERS Form:
Age:
Gender:Female
Location:Connecticut
Vaccinated:2007-01-17
Onset:2007-01-17
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Influenza like illness, Malaise, Myalgia

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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: Information has been received from a physician concerning a female who on 17-JAN-2007 was vaccinated with a 0.5 ml first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 17-JAN-2007 the patient experienced flu-like symptoms described as malaise and myal"gia. Unspecified medical attention was sought. At the time of the report, the patient was recovering. Additional information is not expected.


Changed on 12/8/2009

VAERS ID: 272478 Before After
VAERS Form:
Age:
Gender:Female
Location:Connecticut
Vaccinated:2007-01-17
Onset:2007-01-17
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Influenza like illness, Malaise, Myalgia

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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA02982

Write-up: Information has been received from a physician concerning a female who on 17-JAN-2007 was vaccinated with a 0.5 ml first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 17-JAN-2007 the patient experienced flu-like symptoms described as malaise and myal"gia. myalgia. Unspecified medical attention was sought. At the time of the report, the patient was recovering. Additional information is not expected.


Changed on 9/14/2017

VAERS ID: 272478 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Connecticut
Vaccinated:2007-01-17
Onset:2007-01-17
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Malaise, Myalgia

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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA02982

Write-up: Information has been received from a physician concerning a female who on 17-JAN-2007 was vaccinated with a 0.5 ml first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 17-JAN-2007 the patient experienced flu-like symptoms described as malaise and myalgia. Unspecified medical attention was sought. At the time of the report, the patient was recovering. Additional information is not expected.


Changed on 2/14/2018

VAERS ID: 272478 Before After
VAERS Form:1
Age:
Gender:Female
Location:Connecticut
Vaccinated:2007-01-17
Onset:2007-01-17
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Influenza like illness, Malaise, Myalgia

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? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA02982

Write-up: Information has been received from a physician concerning a female who on 17-JAN-2007 was vaccinated with a 0.5 ml first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On 17-JAN-2007 the patient experienced flu-like symptoms described as malaise and myalgia. Unspecified medical attention was sought. At the time of the report, the patient was recovering. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272478&WAYBACKHISTORY=ON


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