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This is VAERS ID 272520

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272520
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Hypersensitivity

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 nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an /"allergic reaction/". Unspecified medical attention was sought. At the time of th"e report, the patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

272520 Before After
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypersensitivity

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) WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an /"allergic reaction/". "allergic reaction". Unspecified medical attention was sought. At the time of th"e the report, the patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 2/5/2010

272520 Before After
VAERS Form:
Age:(blank) 17.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2007-01-16
Onset:0000-00-00 2007-01-17
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1427F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Hypersensitivity

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': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.


Changed on 5/11/2010

272520 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown North Carolina
Vaccinated:2007-01-16
Onset:2007-01-17
Submitted:2007-02-14 2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Hypersensitivity

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: Asthma; Drug hypersensitivity
Preexisting Conditions: UNK Distress gastrointestinal
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 17 year old female student with asthma and drug hypersensitivity to BEXTRA (gastrointestinal distress) who on 16-JAN-2007, at 16:05, was vaccinated, intramuscularly, into the left deltoid, with a first dose of GARDASIL (lot #655619/1427F). On 17-JAN-2007 the patient called the physician''s office with complaint of "lungs burning" and felt like she had heartburn. She reported that she felt her heart was racing and had developed blurry vision. The patient went to urgent care and told by the physician that the events were a possible reaction to GARDASIL. The patient was advised to take BENADRYL and TYLENOL PM. It was reported that the patient was resting comfortably after she was seen in urgent care. On 18-JAN-2007, she had some residual chest tightness. The patient did not experience shortness of breath or difficulty breathing. Subsequently, the patient recovered. No further information is available.


Changed on 7/31/2010

272520 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-16
Onset:2007-01-17
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Chest discomfort, Hypersensitivity, Lung disorder, Palpitations, Vision blurred

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: Asthma; Drug hypersensitivity
Preexisting Conditions: Distress gastrointestinal
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 17 year old female student with asthma and drug hypersensitivity to BEXTRA (gastrointestinal distress) who on 16-JAN-2007, at 16:05, was vaccinated, intramuscularly, into the left deltoid, with a first dose of GARDASIL (lot #655619/1427F). On 17-JAN-2007 the patient called the physician''s office with complaint of "lungs burning" and felt like she had heartburn. She reported that she felt her heart was racing and had developed blurry vision. The patient went to urgent care and told by the physician that the events were a possible reaction to GARDASIL. The patient was advised to take BENADRYL and TYLENOL PM. It was reported that the patient was resting comfortably after she was seen in urgent care. On 18-JAN-2007, she had some residual chest tightness. The patient did not experience shortness of breath or difficulty breathing. Subsequently, the patient recovered. No further information is available.


Changed on 6/14/2014

272520 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-16
Onset:2007-01-17
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Chest discomfort, Hypersensitivity, Lung disorder, Palpitations, Vision blurred

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: Asthma; Drug hypersensitivity
Preexisting Conditions: Distress gastrointestinal
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 17 year old female student with asthma and drug hypersensitivity to BEXTRA (gastrointestinal distress) who on 16-JAN-2007, at 16:05, was vaccinated, intramuscularly, into the left deltoid, with a first dose of GARDASIL (lot #655619/1427F). On 17-JAN-2007 the patient called the physician''s office with complaint of "lungs burning" and felt like she had heartburn. She reported that she felt her heart was racing and had developed blurry vision. The patient went to urgent care and told by the physician that the events were a possible reaction to GARDASIL. The patient was advised to take BENADRYL and TYLENOL PM. It was reported that the patient was resting comfortably after she was seen in urgent care. On 18-JAN-2007, she had some residual chest tightness. The patient did not experience shortness of breath or difficulty breathing. Subsequently, the patient recovered. No further information is available.


Changed on 5/14/2017

272520 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-16
Onset:2007-01-17
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Chest discomfort, Hypersensitivity, Lung disorder, Palpitations, Vision blurred

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: Asthma; Drug hypersensitivity
Preexisting Conditions: Distress gastrointestinal
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 17 year old female student with asthma and drug hypersensitivity to BEXTRA (gastrointestinal distress) who on 16-JAN-2007, at 16:05, was vaccinated, intramuscularly, into the left deltoid, with a first dose of GARDASIL (lot #655619/1427F). On 17-JAN-2007 the patient called the physician''s office with complaint of "lungs burning" and felt like she had heartburn. She reported that she felt her heart was racing and had developed blurry vision. The patient went to urgent care and told by the physician that the events were a possible reaction to GARDASIL. The patient was advised to take BENADRYL and TYLENOL PM. It was reported that the patient was resting comfortably after she was seen in urgent care. On 18-JAN-2007, she had some residual chest tightness. The patient did not experience shortness of breath or difficulty breathing. Subsequently, the patient recovered. No further information is available.


Changed on 9/14/2017

272520 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:North Carolina
Vaccinated:2007-01-16
Onset:2007-01-17
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Burning sensation, Chest discomfort, Hypersensitivity, Lung disorder, Palpitations, Vision blurred

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: Asthma; Drug hypersensitivity
Preexisting Conditions: Distress gastrointestinal
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA04212

Write-up:Information has been received from a nurse practitioner concerning a female who was vaccinated with a 0.5 ml dose of Gardasil (yeast). Subsequently the patient developed an "allergic reaction". Unspecified medical attention was sought. At the time of the report, the patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a nurse practitioner and a licensed practical nurse concerning a 17 year old female student with asthma and drug hypersensitivity to BEXTRA (gastrointestinal distress) who on 16-JAN-2007, at 16:05, was vaccinated, intramuscularly, into the left deltoid, with a first dose of GARDASIL (lot #655619/1427F). On 17-JAN-2007 the patient called the physician''s office with complaint of "lungs burning" and felt like she had heartburn. She reported that she felt her heart was racing and had developed blurry vision. The patient went to urgent care and told by the physician that the events were a possible reaction to GARDASIL. The patient was advised to take BENADRYL and TYLENOL PM. It was reported that the patient was resting comfortably after she was seen in urgent care. On 18-JAN-2007, she had some residual chest tightness. The patient did not experience shortness of breath or difficulty breathing. Subsequently, the patient recovered. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272520&WAYBACKHISTORY=ON


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