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This is VAERS ID 272526

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272526
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Heart rate increased

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a 14 year old female with no pertinent medical history and no history of drug reactions/allergies in January 2007 was vaccinated with the first dose of Gardasil (yeast) (Lot # not reported") 0.5 ml injection. There was no concomitant medication. In January 2007, the evening she received her first dose of Gardasil (yeast), she experienced rapid heart beat. Medical attention was sought. She had the same experience 24 hours later. The patient


Changed on 12/8/2009

272526 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Heart rate increased

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA04415

Write-up:Information has been received from a nurse practitioner concerning a 14 year old female with no pertinent medical history and no history of drug reactions/allergies in January 2007 was vaccinated with the first dose of Gardasil (yeast) (Lot # not reported") reported) 0.5 ml injection. There was no concomitant medication. In January 2007, the evening she received her first dose of Gardasil (yeast), she experienced rapid heart beat. Medical attention was sought. She had the same experience 24 hours later. The patient has not had another experience since then. Additional information has been requested.


Changed on 9/14/2017

272526 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Heart rate increased

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA04415

Write-up:Information has been received from a nurse practitioner concerning a 14 year old female with no pertinent medical history and no history of drug reactions/allergies in January 2007 was vaccinated with the first dose of Gardasil (yeast) (Lot # not reported) 0.5 ml injection. There was no concomitant medication. In January 2007, the evening she received her first dose of Gardasil (yeast), she experienced rapid heart beat. Medical attention was sought. She had the same experience 24 hours later. The patient has not had another experience since then. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272526&WAYBACKHISTORY=ON


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