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This is VAERS ID 274115

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274115
VAERS Form:
Age:23.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dysgeusia

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

Write-up:Information has been received from a physician concerning a /"23 or 24/" year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30"seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 12/8/2009

274115 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA00457

Write-up:Information has been received from a physician concerning a /"23 "23 or 24/" 24" year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30"seconds 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 2/5/2010

274115 Before After
VAERS Form:
Age:23.0 25.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA00457

Write-up:Information has been received from a physician concerning a "23 or 24" year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 3/2/2010

274115 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: UNK Unknown
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0702USA00457

Write-up:Information has been received from a physician concerning a "23 or 24" 25 year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 6/14/2014

274115 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA00457

Write-up:Information has been received from a physician concerning a 25 year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 5/14/2017

274115 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA00457

Write-up:Information has been received from a physician concerning a 25 year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


Changed on 9/14/2017

274115 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:West Virginia
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dysgeusia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0702USA00457

Write-up:Information has been received from a physician concerning a 25 year old female with no pertinent medical history or drug reactions/allergies, who on approximately 11-Jan-2007 was vaccinated with Gardasil (0.5 ml). The physician reported that 30 seconds following vaccination, the patient experienced an intense metal taste in her mouth, however immediately recovered. No further details were provided. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274115&WAYBACKHISTORY=ON


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