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This is VAERS ID 274130

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274130
VAERS Form:
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Chills, Nausea, Vomiting

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: NONE
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female that works in the same office On 05-FEB-2007, the patient was vaccinated with a first dose of HPV. There were no concomitant medications. On 06-FEB-2007 the p"atient developed severe nausea, vomiting and chills. Unspecified medical attention was sought. At the time of the reporter, the patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

274130 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Chills, Nausea, Vomiting

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: NONE
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA00914

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female that works in the same office On 05-FEB-2007, the patient was vaccinated with a first dose of HPV. There were no concomitant medications. On 06-FEB-2007 the p"atient patient developed severe nausea, vomiting and chills. Unspecified medical attention was sought. At the time of the reporter, the patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

274130 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-05
Onset:2007-02-06
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Chills, Nausea, Vomiting

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: NONE
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA00914

Write-up:Information has been received from a certified medical assistant concerning a 24 year old female that works in the same office On 05-FEB-2007, the patient was vaccinated with a first dose of HPV. There were no concomitant medications. On 06-FEB-2007 the patient developed severe nausea, vomiting and chills. Unspecified medical attention was sought. At the time of the reporter, the patient''s outcome was unknown. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274130&WAYBACKHISTORY=ON


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