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This is VAERS ID 272486

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272486
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Urinary tract infection

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:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 14 year old female patient who on approximately 05-JAN-2007 was vaccinated at another physicians office with HPV vaccine (yeast) (lot # not provided). On an unspecified date in January 2007, the"patient was seen by the reporting physician for a suspected urinary tract infection (lab results not provided). The patient sought unspecified medical attention. At the time of this report it was unknown if the patient had recovered from the event. Additi


Changed on 12/8/2009

272486 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Urinary tract infection

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:
CDC 'Split Type': (blank) WAES0701USA03348

Write-up:Information has been received from a physician concerning a 14 year old female patient who on approximately 05-JAN-2007 was vaccinated at another physicians office with HPV vaccine (yeast) (lot # not provided). On an unspecified date in January 2007, the"patient the patient was seen by the reporting physician for a suspected urinary tract infection (lab results not provided). The patient sought unspecified medical attention. At the time of this report it was unknown if the patient had recovered from the event. Additi Additional information has been requested.


Changed on 9/14/2017

272486 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Urinary tract infection

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:
CDC 'Split Type': WAES0701USA03348

Write-up:Information has been received from a physician concerning a 14 year old female patient who on approximately 05-JAN-2007 was vaccinated at another physicians office with HPV vaccine (yeast) (lot # not provided). On an unspecified date in January 2007, the patient was seen by the reporting physician for a suspected urinary tract infection (lab results not provided). The patient sought unspecified medical attention. At the time of this report it was unknown if the patient had recovered from the event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272486&WAYBACKHISTORY=ON


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