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This is VAERS ID 273547

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273547
VAERS Form:
Age:19.0
Gender:Female
Location:Virginia
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Body temperature decreased, Headache, Influenza like illness, Neck pain

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

Write-up:Headaches, low grade temp 100 degrees, neck pain, flu-like symptoms. Patient was treated by her family.


Changed on 12/8/2009

273547 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Virginia
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / - LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Body temperature decreased, Headache, Influenza like illness, Neck pain

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

Write-up:Headaches, low grade temp 100 degrees, neck pain, flu-like symptoms. Patient was treated by her family.


Changed on 9/14/2017

273547 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Virginia
Vaccinated:2007-02-21
Onset:2007-02-22
Submitted:2007-02-23
Entered:2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / - UNK LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Body temperature decreased, Headache, Influenza like illness, Neck pain

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

Write-up:Headaches, low grade temp 100 degrees, neck pain, flu-like symptoms. Patient was treated by her family.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273547&WAYBACKHISTORY=ON


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