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This is VAERS ID 272502

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272502
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness, Nausea, Vomiting

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: Loestrin, iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 65"5165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day bec


Changed on 12/8/2009

272502 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness, Nausea, Vomiting

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: Loestrin, iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA03757

Write-up:Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 65"5165/1425F). 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day bec because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

272502 Before After
VAERS Form:
Age:20.0 21.0
Gender:Female
Location:Unknown West Virginia
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, Nausea, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
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: Loestrin, LOESTRIN 24 FE; iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03757

Write-up:This is a follow up to report (s) previoulsy submitted on 2/14/2007. Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN) (LOESTRIN 24FE) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested. In follow-up it was reported that the patient''s symptoms of nauea, vomiting and fainting lasted several hours and improved without treatment. The patient recovered on 18-JAN-2007. Additional information is not expected.


Changed on 6/14/2014

272502 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN 24 FE; iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03757

Write-up:This is a follow up to report (s) previoulsy submitted on 2/14/2007. Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN 24FE) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested. In follow-up it was reported that the patient''s symptoms of nauea, vomiting and fainting lasted several hours and improved without treatment. The patient recovered on 18-JAN-2007. Additional information is not expected.


Changed on 5/14/2017

272502 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN 24 FE; iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03757

Write-up:This is a follow up to report (s) previoulsy submitted on 2/14/2007. Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN 24FE) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested. In follow-up it was reported that the patient''s symptoms of nauea, vomiting and fainting lasted several hours and improved without treatment. The patient recovered on 18-JAN-2007. Additional information is not expected.


Changed on 9/14/2017

272502 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 655165/1425F / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN 24 FE; iron (unspecified)
Current Illness:
Preexisting Conditions: contraception; routine health maintenance; iron deficiency anaemia
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03757

Write-up:This is a follow up to report (s) previoulsy submitted on 2/14/2007. Information has been received from a nurse practitioner concerning a 20 year old female on contraception, and supplements with iron deficiency anaemia and no allergies, who on 18-JAN-2007 was vaccinated IM with a first dose of HPV vaccine (yeast) (lot# 655165/1425F). Concomitant therapy included ethinyl estradiol/norethindrone acetate (LOESTRIN 24FE) and iron (unspecified). Two hours after, the patient called the office and complained of nausea and vomiting. The patient came into the office the next day because her vomiting lasted throughout the night and she stated that she passed out. By the time she came to the office she was doing better. No diagnostic studies were performed. At the time of this report, the patient was recovered. No product quality complaint was involved. Additional information has been requested. In follow-up it was reported that the patient''s symptoms of nauea, vomiting and fainting lasted several hours and improved without treatment. The patient recovered on 18-JAN-2007. Additional information is not expected.


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