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This is VAERS ID 272509

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272509
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-18
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: Dyspnoea, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID
Current Illness: Penicillin allergy; Rash; Fever
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no con"comitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and disc


Changed on 12/8/2009

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-18
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: Dyspnoea, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID
Current Illness: Penicillin allergy; Rash; Fever
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no con"comitant concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and disc discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:2007-01-18 0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID PEPCID; (therapy unspecified)
Current Illness: Penicillin allergy; Rash; Fever Fever; Nulliparous; Smoker; Acne; Overweight
Preexisting Conditions: Appendectomy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning an overweight 18 year old female with a penicillin allergy noted as rash and fever, acne, smoking, a history of an appendectomy and a family history of the mother (age 45) with ovarian cancer (currently undergoing chemotherapy). On 16-JAN-2007, at 6:32 P.M., the patient was vaccinated intramuscularly in the left deltoid, with the first dose 0.5 ml of GARDASIL. Concomitant therapy included topical medications for acne. On the 16-JAN-2007 the patient had a Pap test done with reflex HPV. On 17-JAN-2007 (previously reported as 18-JAN-2007) the patient complained of a week history of a band of abdominal pain across her abdomen which was associated with chest pain. She denied any burning or back wash of food or fluid coming up in her chest, although occasionally she had this chest pain. There were no foods that aggravated her and she followed a healthy diet. The patient had normal bowel movements and her last period was 2 weeks prior. On examination, the patient was in no acute distress; her abdomen was soft, non-tender, nondistended; no hepatosplenomegaly or masses. The physician''s impression was abdominal pain/possible mil


Changed on 4/7/2010

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Respiratory disorder, Smear cervix, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID; (therapy unspecified)
Current Illness: Penicillin allergy; Rash; Fever; Nulliparous; Smoker; Acne; Overweight
Preexisting Conditions: Appendectomy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning an overweight 18 year old female with a penicillin allergy noted as rash and fever, acne, smoking, a history of an appendectomy and a family history of the mother (age 45) with ovarian cancer (currently undergoing chemotherapy). On 16-JAN-2007, at 6:32 P.M., the patient was vaccinated intramuscularly in the left deltoid, with the first dose 0.5 ml of GARDASIL. Concomitant therapy included topical medications for acne. On the 16-JAN-2007 the patient had a Pap test done with reflex HPV. On 17-JAN-2007 (previously reported as 18-JAN-2007) the patient complained of a week history of a band of abdominal pain across her abdomen which was associated with chest pain. She denied any burning or back wash of food or fluid coming up in her chest, although occasionally she had this chest pain. There were no foods that aggravated her and she followed a healthy diet. The patient had normal bowel movements and her last period was 2 weeks prior. On examination, the patient was in no acute distress; her abdomen was soft, non-tender, nondistended; no hepatosplenomegaly or masses. The physician''s impression was abdominal pain/possible mil


Changed on 1/4/2011

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Respiratory disorder, Smear cervix, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID; (therapy unspecified)
Current Illness: Penicillin allergy; Rash; Fever; Nulliparous; Smoker; Acne; Overweight
Preexisting Conditions: Appendectomy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning an overweight 18 year old female with a penicillin allergy noted as rash and fever, acne, smoking, a history of an appendectomy and a family history of the mother (age 45) with ovarian cancer (currently undergoing chemotherapy). On 16-JAN-2007, at 6:32 P.M., the patient was vaccinated intramuscularly in the left deltoid, with the first dose 0.5 ml of GARDASIL. Concomitant therapy included topical medications for acne. On the 16-JAN-2007 the patient had a Pap test done with reflex HPV. On 17-JAN-2007 (previously reported as 18-JAN-2007) the patient complained of a week history of a band of abdominal pain across her abdomen which was associated with chest pain. She denied any burning or back wash of food or fluid coming up in her chest, although occasionally she had this chest pain. There were no foods that aggravated her and she followed a healthy diet. The patient had normal bowel movements and her last period was 2 weeks prior. On examination, the patient was in no acute distress; her abdomen was soft, non-tender, nondistended; no hepatosplenomegaly or masses. The physician''s impression was abdominal pain/possible mil mild viral gastritis. The patient was prescribed famotidine (MSD) 20 mg, twice a day. She was to avoid caffeine and acidic foods or large meals before bed. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Respiratory disorder, Smear cervix, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID; (therapy unspecified)
Current Illness: Penicillin allergy; Rash; Fever; Nulliparous; Smoker; Acne; Overweight
Preexisting Conditions: Appendectomy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning an overweight 18 year old female with a penicillin allergy noted as rash and fever, acne, smoking, a history of an appendectomy and a family history of the mother (age 45) with ovarian cancer (currently undergoing chemotherapy). On 16-JAN-2007, at 6:32 P.M., the patient was vaccinated intramuscularly in the left deltoid, with the first dose 0.5 ml of GARDASIL. Concomitant therapy included topical medications for acne. On the 16-JAN-2007 the patient had a Pap test done with reflex HPV. On 17-JAN-2007 (previously reported as 18-JAN-2007) the patient complained of a week history of a band of abdominal pain across her abdomen which was associated with chest pain. She denied any burning or back wash of food or fluid coming up in her chest, although occasionally she had this chest pain. There were no foods that aggravated her and she followed a healthy diet. The patient had normal bowel movements and her last period was 2 weeks prior. On examination, the patient was in no acute distress; her abdomen was soft, non-tender, nondistended; no hepatosplenomegaly or masses. The physician''s impression was abdominal pain/possible mild viral gastritis. The patient was prescribed famotidine (MSD) 20 mg, twice a day. She was to avoid caffeine and acidic foods or large meals before bed. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 272509 Before After
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-01-16
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Abdominal pain, Chest pain, Dyspnoea, Respiratory disorder, Smear cervix, Epigastric discomfort

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: PEPCID; (therapy unspecified)
Current Illness: Penicillin allergy; Rash; Fever; Nulliparous; Smoker; Acne; Overweight
Preexisting Conditions: Appendectomy
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA03962

Write-up:Information has been received from the father of an 18 year old female with a penicillin allergy noted as rash and fever. On 16-JAN-2007, the patient was vaccinated intramuscularly in the deltoid, with the first dose of Gardasil (yeast). There were no concomitant medications reported. On 18-JAN-2007, the patient developed epigastric pressure and discomfort. On 19-JAN-2007, the patient was examined by her physician and was prescribed famotidine. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 2/14/2007. Information has been received from a physician concerning an overweight 18 year old female with a penicillin allergy noted as rash and fever, acne, smoking, a history of an appendectomy and a family history of the mother (age 45) with ovarian cancer (currently undergoing chemotherapy). On 16-JAN-2007, at 6:32 P.M., the patient was vaccinated intramuscularly in the left deltoid, with the first dose 0.5 ml of GARDASIL. Concomitant therapy included topical medications for acne. On the 16-JAN-2007 the patient had a Pap test done with reflex HPV. On 17-JAN-2007 (previously reported as 18-JAN-2007) the patient complained of a week history of a band of abdominal pain across her abdomen which was associated with chest pain. She denied any burning or back wash of food or fluid coming up in her chest, although occasionally she had this chest pain. There were no foods that aggravated her and she followed a healthy diet. The patient had normal bowel movements and her last period was 2 weeks prior. On examination, the patient was in no acute distress; her abdomen was soft, non-tender, nondistended; no hepatosplenomegaly or masses. The physician''s impression was abdominal pain/possible mild viral gastritis. The patient was prescribed famotidine (MSD) 20 mg, twice a day. She was to avoid caffeine and acidic foods or large meals before bed. On 21-JAN-2007, the patient complained of difficulty and discomfort breathing which worsened on 22-JAN-2007. On 23-JAN-2007, the patient was planning to seek medical attention, at her local school infirmary. At the time of this report, the patient had not recovered from the events. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272509&WAYBACKHISTORY=ON


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