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This is VAERS ID 273935

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273935
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Birth Control
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pt stated she had slight fever after 1st shot.


Changed on 12/8/2009

273935 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Birth Control
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pt stated she had slight fever after 1st shot.


Changed on 9/14/2017

273935 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:New York
Vaccinated:2007-01-04
Onset:2007-01-05
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Birth Control
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Pt stated she had slight fever after 1st shot.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273935&WAYBACKHISTORY=ON


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