National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273206

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273206
Age:20.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (NO BRAND NAME) / UNKNOWN MANUFACTURER U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified~1~0~In Patient|aeizure~Vaccine not specified~1~0~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given.
CDC 'Split Type': Pertussis vaccine

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours.


Changed on 12/8/2009

VAERS ID: 273206 Before After
Age:20.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (NO BRAND NAME) INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia, Fatigue, Headache, Hypoaesthesia, Mouth ulceration, Muscular weakness, Myalgia, Pain, Vaccination complication, Rheumatoid factor negative, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified~1~0~In Patient|aeizure~Vaccine not specified~1~0~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC 'Split Type': Pertussis vaccine (blank)

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


Changed on 7/13/2012

VAERS ID: 273206 Before After
Age:20.0 19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) INFLUENZA (SEASONAL) (FLUZONE) / UNKNOWN MANUFACTURER SANOFI PASTEUR U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia, Fatigue, Headache, Hypoaesthesia, Mouth ulceration, Muscular weakness, Myalgia, Pain, Vaccination complication, Rheumatoid factor negative, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified~1~0~In Patient|aeizure~Vaccine specified (no brand name)~1~0.00~Patient|aeizure~Vaccine not specified~1~0~In Sibling specified (no brand name)~1~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC 'Split Type':

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


Changed on 7/7/2013

VAERS ID: 273206 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2177AA / - RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia, Fatigue, Headache, Hypoaesthesia, Mouth ulceration, Muscular weakness, Myalgia, Pain, Vaccination complication, Rheumatoid factor negative, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified (no brand name)~1~0.00~Patient|aeizure~Vaccine not specified (no brand name)~1~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC 'Split Type':

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


Changed on 6/14/2014

VAERS ID: 273206 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia, Fatigue, Headache, Hypoaesthesia, Mouth ulceration, Muscular weakness, Myalgia, Pain, Vaccination complication, Rheumatoid factor negative, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified (no brand name)~1~0.00~Patient|aeizure~Vaccine not specified (no brand name)~1~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC 'Split Type':

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


Changed on 2/14/2017

VAERS ID: 273206 Before After
Age:19.0
Gender:Female
Location:Utah
Vaccinated:2007-01-22
Onset:2007-01-29
Submitted:2007-02-28
Entered:2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2177AA / - RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Aphthous stomatitis, Asthenia, Blepharospasm, Blood creatine phosphokinase, Dysaesthesia, Fatigue, Headache, Hypoaesthesia, Mouth ulceration, Muscular weakness, Myalgia, Pain, Vaccination complication, Rheumatoid factor negative, Hypoaesthesia facial

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: seizure~Vaccine not specified (no brand name)~1~0.00~Patient|aeizure~Vaccine not specified (no brand name)~1~0.00~Sibling
Other Medications:
Current Illness:
Preexisting Conditions: Pertussis vaccine. 3/7/07 records received Seizure as infant after pertussis vaccine and never completed the series. Mononucleosis at age 16. Migraines.
Diagnostic Lab Data: Severe reaction Gardasil and Influenza vaccine given. Labs:WNL. Rheumatoid factor negative. CK 64 repeat CK 65.
CDC 'Split Type':

Write-up:Patient had myalgias at day 7 post vaccine. Severe headache global x <24 hours. Severe muscle weakness. Severe fatigue, symptoms routine except headache which disappeared in 24 hours. 03/07/8/07-records received from rheumatology consultation for DOS 03/02/07-Impression: Myalgias, dysethesias hands and feet, increased fatigability, oral ulceration/cankers;possible rare reaction to either flu or Gardasil. Rule out vasculitis, lupus and other connective tissue disease. C/O severe body pain, weakness, headache lasted 1 day but has had persistent generalized muscle pain. Transient numbness in hand, face and feet. Eyes feel sore, some twitching of eyelids. PMH: Seizure as infant after pertussis vaccine and never completed the series. No recurrence of seizure and did not appear to be febrile seizure. Mother has multiple sclerosis. PE:Muscles tender to palpation pretty uniform throughout body, not so much in hands as in forearms, arms, trunks, legs, calves.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273206&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166