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This is VAERS ID 272942

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272942
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-22
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Immune system disorder

Life Threatening? Yes
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? Yes, days: 0     Extended hospital stay? 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 concerning her niece (age not reported) who on an unspecified date was vaccinated with Gardasil injection. Concomitant therapy was unspecified. Subsequently, the patient experienced /"immune system shut down/" af"ter receiving the vaccination. The patient had sought medical attention. On an unspecified date, the patient was hospitalized and at the time of reporting it was unknown how long the patient was hospitalized or if she was still in the hospital. It was uns


Changed on 12/8/2009

272942 Before After
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-22
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Immune system disorder

Life Threatening? Yes
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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA02738

Write-up:Information has been received from a nurse concerning her niece (age not reported) who on an unspecified date was vaccinated with Gardasil injection. Concomitant therapy was unspecified. Subsequently, the patient experienced /"immune "immune system shut down/" af"ter down" after receiving the vaccination. The patient had sought medical attention. On an unspecified date, the patient was hospitalized and at the time of reporting it was unknown how long the patient was hospitalized or if she was still in the hospital. It was uns unspecified if the patient had recovered. The nurse felt that the "immune system shut down" was considered to be immediately life-threatening. Additional information has been requested.


Changed on 9/14/2017

272942 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-22
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Immune system disorder

Life Threatening? Yes
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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA02738

Write-up:Information has been received from a nurse concerning her niece (age not reported) who on an unspecified date was vaccinated with Gardasil injection. Concomitant therapy was unspecified. Subsequently, the patient experienced "immune system shut down" after receiving the vaccination. The patient had sought medical attention. On an unspecified date, the patient was hospitalized and at the time of reporting it was unknown how long the patient was hospitalized or if she was still in the hospital. It was unspecified if the patient had recovered. The nurse felt that the "immune system shut down" was considered to be immediately life-threatening. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272942&WAYBACKHISTORY=ON


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