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This is VAERS ID 272569

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272569
VAERS Form:
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-01-25
Onset:2007-01-27
Submitted:2007-02-19
Entered:2007-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (FLUMIST) / MEDIMMUNE, INC./WYETH LABORATORIES, INC 500438P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Vaginal haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC 'Split Type':

Write-up:pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.


Changed on 12/8/2009

272569 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-01-25
Onset:2007-01-27
Submitted:2007-02-19
Entered:2007-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (FLUMIST) INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE, INC./WYETH LABORATORIES, INC 500438P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Vaginal haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC 'Split Type':

Write-up:pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.


Changed on 7/7/2013

272569 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-01-25
Onset:2007-01-27
Submitted:2007-02-19
Entered:2007-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE, INC./WYETH LABORATORIES, INC 500438P / - - / IN
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE, INC./WYETH LABORATORIES, INC 500438P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Vaginal haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC 'Split Type':

Write-up:pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.


Changed on 5/14/2017

272569 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-01-25
Onset:2007-01-27
Submitted:2007-02-19
Entered:2007-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE, INC./WYETH LABORATORIES, INC MEDIMMUNE VACCINES, INC. 500438P / - - / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Vaginal haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC 'Split Type':

Write-up:pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.


Changed on 9/14/2017

272569 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-01-25
Onset:2007-01-27
Submitted:2007-02-19
Entered:2007-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC. 500438P / - UNK - NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / - UNK LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS - / - UNK RA / IM

Administered by: Private      Purchased by: Public
Symptoms: Vaginal haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC 'Split Type':

Write-up:pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.


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